Gary J Lundgren, OD is a medicare enrolled "Optometrist" provider in Prairie Du Sac, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 2001 and has 23 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Dean Health Systems Inc and his current practice location is
1110 Prairie St, Prairie Du Sac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 643-3333.
Gary J Lundgren is licensed to practice in Wisconsin (license number 2880-035) 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 1497814354.
Healthcare Provider's Profile
| Full Name | Gary J Lundgren |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 23 Years |
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| Location | 1110 Prairie St, Prairie Du Sac, 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:
- Gary J Lundgren attended and graduated from Illinois College Of Optometry At Chicago in 2001
NPI Data:
- NPI Number: 1497814354
- Provider Enumeration Date: 12/07/2006
- Last Update Date: 12/08/2020
Medicare PECOS Information:
- PECOS PAC ID: 5597767376
- Enrollment ID: I20070207000399
Medical Identifiers
Medical identifiers for Gary J Lundgren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497814354 | NPI | - | NPPES |
| 1497814354 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2880-035 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Dean Health Systems Inc | 7012827983 | 1054 |
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. Gary J Lundgren allows following entities to bill medicare on his behalf.
| Provider Name | Dean Health Systems Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1053358846
PECOS PAC ID: 7012827983
Enrollment ID: O20031105000584 |
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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. Gary J Lundgren 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 |
|---|
Gary J Lundgren, OD
1110 Prairie St,
Prairie Du Sac, WI 53578-2044
Ph: (608) 643-3333 | Gary J Lundgren, OD
1110 Prairie St,
Prairie Du Sac, WI 53578-2044
Ph: (608) 643-3333 |
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