Dr Nicole L Amidon, OD in Fond Du Lac, WI - Medicare Optometry Provider

Dr Nicole L Amidon, OD is a medicare enrolled "Optometrist" provider in Fond Du Lac, Wisconsin. She went to Ferris State College - College Of Optometry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Shoptikal Llc and her current practice location is 459 W Johnson St, Fond Du Lac, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 922-5990.

Dr Nicole L Amidon is licensed to practice in Wisconsin (license number 2758-.035) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992762835.

Contact Information

	Dr Nicole L Amidon, OD
	459 W Johnson St, Fond Du Lac, WI 54935-3170
	(920) 922-5990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole L Amidon
Gender	Female
Speciality	Optometry
Experience	25 Years
Location	459 W Johnson St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Nicole L Amidon attended and graduated from Ferris State College - College Of Optometry in 1999

NPI Data:

NPI Number: 1992762835
Provider Enumeration Date: 04/26/2006
Last Update Date: 12/21/2007

Medicare PECOS Information:

PECOS PAC ID: 4082698410
Enrollment ID: I20040621000041

Medical Identifiers

Medical identifiers for Dr Nicole L Amidon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992762835	NPI	-	NPPES
WI2758	Other		EYEMED VISION NO.
38611200	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2758-.035 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shoptikal Llc	1456684471	169

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nicole L Amidon allows following entities to bill medicare on her behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nicole L Amidon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Nicole L Amidon, OD 16800 West Cleveland Ave, New Berlin, WI 53151-3533 Ph: (262) 432-2005	Dr Nicole L Amidon, OD 459 W Johnson St, Fond Du Lac, WI 54935-3170 Ph: (920) 922-5990

Reviews and Comments

Optometrist in Fond Du Lac, WI

Laura J Rau, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 24 Deneveu Cir, Fond Du Lac, WI 54935 Phone: 920-924-9585
Wisconsin Vision, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 459 W Johnson St, Fond Du Lac, WI 54935 Phone: 920-922-5990 Fax: 920-922-7482
Dr. Benjamin R Scoresby, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 421 Camelot Dr, Fond Du Lac, WI 54935 Phone: 920-926-8472 Fax: 920-926-8391
J. Brian Conran, O.d., S.c. Optometrist Medicare: Medicare Enrolled Practice Location: 110 E Division St, Fond Du Lac, WI 54935 Phone: 920-922-5430 Fax: 920-922-5478
Family Focus Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 355 N Peters Ave Ste 1, Fond Du Lac, WI 54935 Phone: 920-922-7121 Fax: 920-922-5666
Jessica Kulick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 355 N Peters Ave, Fond Du Lac, WI 54935 Phone: 920-922-7121
Dr. Julie M Henry, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 Wisconsin American Dr, Fond Du Lac, WI 54935 Phone: 920-907-7000 Fax: 920-907-7012

Dr Nicole L Amidon, OD - Medicare Optometrist in Fond Du Lac, WI