Dr Susan Ann Gorz, OD is a medicare enrolled "Optometrist" provider in Kewaunee, Wisconsin. She went to Illinois College Of Optometry At Chicago and graduated in 1984 and has 40 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Lakeshore Vision Centers, Ltd and her current practice location is
1217 Ellis St, Kewaunee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 388-2020.
Dr Susan Ann Gorz is licensed to practice in Wisconsin (license number 2044) 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 1427033034.
Healthcare Provider's Profile
| Full Name | Dr Susan Ann Gorz |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 40 Years |
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| Location | 1217 Ellis St, Kewaunee, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Susan Ann Gorz attended and graduated from Illinois College Of Optometry At Chicago in 1984
NPI Data:
- NPI Number: 1427033034
- Provider Enumeration Date: 12/07/2005
- Last Update Date: 01/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496836272
- Enrollment ID: I20080118000145
Medical Identifiers
Medical identifiers for Dr Susan Ann Gorz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427033034 | NPI | - | NPPES |
| 000147383 | Other | WI | MEDICARE PTAN |
| 87727 | Other | WI | MEDICARE |
| 38526300 | Medicaid | WI | |
| 037174001 | Other | WI | MEDICARE NSC |
| 87544 | Other | WI | MEDICARE |
| 38709200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2044 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lakeshore Vision Centers, Ltd | 9133200900 | 3 |
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 Susan Ann Gorz allows following entities to bill medicare on her behalf.
| Provider Name | Lakeshore Vision Centers, Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780734418
PECOS PAC ID: 9133200900
Enrollment ID: O20080117000651 |
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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 Susan Ann Gorz 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 |
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Dr Susan Ann Gorz, OD
1021 Jefferson St,
Algoma, WI 54201-1737
Ph: (920) 487-2077 | Dr Susan Ann Gorz, OD
1217 Ellis St,
Kewaunee, WI 54216-1825
Ph: (920) 388-2020 |
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