Dr Nicole Shirley Avgoulas, OD in Fort Atkinson, WI

Dr Nicole Shirley Avgoulas, OD is a medicare enrolled "Optometrist" provider in Fort Atkinson, Wisconsin. She graduated from medical school in 2020 and has 4 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 1640 Madison Ave, Fort Atkinson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 563-2171.

Dr Nicole Shirley Avgoulas is licensed to practice in Wisconsin (license number 3617-35) 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 1831714120.

Contact Information

	Dr Nicole Shirley Avgoulas, OD
	1640 Madison Ave, Fort Atkinson, WI 53538-3101
	(920) 563-2171
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nicole Shirley Avgoulas
Gender	Female
Speciality	Optometry
Experience	4 Years
Location	1640 Madison Ave, Fort Atkinson, 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 Shirley Avgoulas graduated from medical school in 2020

NPI Data:

NPI Number: 1831714120
Provider Enumeration Date: 06/11/2020
Last Update Date: 06/11/2020

Medicare PECOS Information:

PECOS PAC ID: 4082037437
Enrollment ID: I20200702000675

Medical Identifiers

Medical identifiers for Dr Nicole Shirley Avgoulas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831714120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3617-35 (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 Shirley Avgoulas 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 Shirley Avgoulas 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 Shirley Avgoulas, OD 197 S Golden Vista Ct, Oconomowoc, WI 53066-8635 Ph: (262) 490-0275	Dr Nicole Shirley Avgoulas, OD 1640 Madison Ave, Fort Atkinson, WI 53538-3101 Ph: (920) 563-2171

Reviews and Comments

Optometrist in Fort Atkinson, WI

Jeffery F Kneiert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 Reena Ave, Suite B, Fort Atkinson, WI 53538 Phone: 920-563-8468 Fax: 920-563-0178
Colleen S Hebert, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 740 Reena Ave, Suite B, Fort Atkinson, WI 53538 Phone: 920-563-8468 Fax: 920-563-7018
Rock River Optical Llc Optometrist Medicare: Medicare Enrolled Practice Location: 232 S Main St, Fort Atkinson, WI 53538 Phone: 920-542-1501 Fax: 920-542-1503
Stephen Randall Marion, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1100 Madison Ave, Fort Atkinson, WI 53538 Phone: 920-563-8468 Fax: 920-563-0178
Alternative Vision Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1612 Commonwealth Dr, #4, Fort Atkinson, WI 53538 Phone: 920-397-7094
Dr. Alyce Anastasia Hofmann, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 740 Reena Ave, Suite B, Fort Atkinson, WI 53538 Phone: 920-563-8468
Amanda Renee Cheek, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 232 S Main St, Fort Atkinson, WI 53538 Phone: 920-542-1501 Fax: 920-542-1503

Dr Nicole Shirley Avgoulas, OD - Medicare Optometrist in Fort Atkinson, WI