Dr Susan N Diederich, OD in Grafton, WI - Medicare Optometry Provider

Dr Susan N Diederich, OD is a medicare enrolled "Optometrist" provider in Grafton, Wisconsin. She went to Indiana University - School Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Markerry Enterprises Llc and her current practice location is 1260 N Port Washington Rd, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 546-0234.

Dr Susan N Diederich is licensed to practice in Wisconsin (license number 2981-035) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1750318580.

Contact Information

	Dr Susan N Diederich, OD
	1260 N Port Washington Rd, Grafton, WI 53024-9315
	(262) 546-0234
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Susan N Diederich
Gender	Female
Speciality	Optometry
Experience	20 Years
Location	1260 N Port Washington Rd, Grafton, Wisconsin
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Susan N Diederich attended and graduated from Indiana University - School Of Optometry in 2004

NPI Data:

NPI Number: 1750318580
Provider Enumeration Date: 06/27/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 1052380524
Enrollment ID: I20040930000934

Medical Identifiers

Medical identifiers for Dr Susan N Diederich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750318580	NPI	-	NPPES
38624700	Medicaid	WI
WI2981	Other		EYEMED VISION NO.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2981-035 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Markerry Enterprises Llc	5698195717	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 N Diederich allows following entities to bill medicare on her behalf.

Provider Name	Markerry Enterprises Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1992012488 PECOS PAC ID: 5698195717 Enrollment ID: O20201012001298

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 N Diederich 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 Susan N Diederich, OD 16800 West Cleveland Ave, New Berlin, WI 53151-3533 Ph: (262) 432-2005	Dr Susan N Diederich, OD 1260 N Port Washington Rd, Grafton, WI 53024-9315 Ph: (262) 546-0234

Reviews and Comments

Optometrist in Grafton, WI

Thomas Dean Freed, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1106 Washington St, Grafton, WI 53024 Phone: 262-375-0220 Fax: 262-375-0780
Dr. Tristan Robert Begotka, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1210 12th Ave, Grafton, WI 53024 Phone: 262-377-6800 Fax: 262-377-7287
Prn Eye Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 950 Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063
Nina Pham Christensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 N Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063
Dr. Michelle H Lewis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 950 Port Washington Rd, Grafton, WI 53024 Phone: 262-204-1063
Wisconsin Vision, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1260 N Port Washington Rd, Grafton, WI 53024 Phone: 262-546-0234 Fax: 262-546-0236

Dr Susan N Diederich, OD - Medicare Optometrist in Grafton, WI