Gundersen Eye Clinic And Dental Specialties Prairie Du Chien is a medicare enrolled "Optometrist" provider in Prairie Du Chien, Wisconsin. Their current practice location is
118 S Marquette Rd, Prairie Du Chien, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(608) 782-7300.
Gundersen Eye Clinic And Dental Specialties Prairie Du Chien is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Gundersen Eye Clinic And Dental Specialties Prairie Du Chien
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 1023064078.
Healthcare Provider's Profile
| Full Name | Gundersen Eye Clinic And Dental Specialties Prairie Du Chien |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 118 S Marquette Rd, Prairie Du Chien, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1023064078
- Provider Enumeration Date: 05/25/2006
- Last Update Date: 08/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638082779
- Enrollment ID: O20100930060164
Medical Identifiers
Medical identifiers for Gundersen Eye Clinic And Dental Specialties Prairie Du Chien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023064078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QS0112X | Clinic/center - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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. Gundersen Eye Clinic And Dental Specialties Prairie Du Chien 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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Gundersen Eye Clinic And Dental Specialties Prairie Du Chien
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Gundersen Eye Clinic And Dental Specialties Prairie Du Chien
118 S Marquette Rd,
Prairie Du Chien, WI 53821-1640
Ph: (608) 782-7300 |
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