Excelsior Eyecare, Pllc is a medicare enrolled "Optometrist" provider in Excelsior, Minnesota. Their current practice location is
228 Water St, Excelsior, Minnesota. You can reach out to their office (for appointments etc.) via phone at
(952) 401-6300.
Excelsior Eyecare, Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Excelsior Eyecare, Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1912138330.
Healthcare Provider's Profile
Full Name | Excelsior Eyecare, Pllc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 228 Water St, Excelsior, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1912138330
- Provider Enumeration Date: 08/03/2009
- Last Update Date: 08/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 0244377299
- Enrollment ID: O20091022000655
Medical Identifiers
Medical identifiers for Excelsior Eyecare, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912138330 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Excelsior Eyecare, Pllc acts as a billing entity for following providers:
Provider Name | Aaron B Mjelstad |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1952347056 PECOS PAC ID: 4880778992 Enrollment ID: I20080228000212 |
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Provider Name | Robert E Hersman |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1427068774 PECOS PAC ID: 9335223437 Enrollment ID: I20080228000263 |
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Provider Name | Nathan P Langemo |
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Provider Type | Practitioner - Optometry |
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Provider Identifiers | NPI Number: 1316272495 PECOS PAC ID: 2466604400 Enrollment ID: I20121220000193 |
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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. Excelsior Eyecare, Pllc 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 |
Excelsior Eyecare, Pllc Po Box 1170, Maple Grove, MN 55311-6170 Ph: (952) 401-6300 | Excelsior Eyecare, Pllc 228 Water St, Excelsior, MN 55331-1825 Ph: (952) 401-6300 |
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