Dr Todd William Wild, OD is a medicare enrolled "Optometrist" provider in Weyauwega, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1989 and has 35 years of diverse experience with area of expertise as Optometry. His current practice location is
415 E Ann St, Weyauwega, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 867-3131.
Dr Todd William Wild is licensed to practice in Wisconsin (license number 2346) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992737704.
Healthcare Provider's Profile
| Full Name | Dr Todd William Wild |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 35 Years |
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| Location | 415 E Ann St, Weyauwega, Wisconsin |
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| Accepts Medicare Assignments | Yes. He 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 Todd William Wild attended and graduated from Illinois College Of Optometry At Chicago in 1989
NPI Data:
- NPI Number: 1992737704
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486704442
- Enrollment ID: I20090612000223
Medical Identifiers
Medical identifiers for Dr Todd William Wild such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992737704 | NPI | - | NPPES |
| 38578700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2346 (Wisconsin) | Primary |
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 Todd William Wild allows following entities to bill medicare on his behalf.
| Provider Name | Thomas G Peterson Od Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1033197397
PECOS PAC ID: 4880725308
Enrollment ID: O20100628000717 |
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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 Todd William Wild 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 Todd William Wild, OD
Po Box 350,
Weyauwega, WI 54983-0350
Ph: (920) 867-3131 | Dr Todd William Wild, OD
415 E Ann St,
Weyauwega, WI 54983-8532
Ph: (920) 867-3131 |
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