Holtebeck Eye Center Sc is a medicare enrolled "Ophthalmology" provider in Brookfield, Wisconsin. Their current practice location is
18200 W Capitol Dr Ste 103, Brookfield, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(262) 393-2020.
Holtebeck Eye Center Sc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Holtebeck Eye Center Sc
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 1619567054.
Healthcare Provider's Profile
Full Name | Holtebeck Eye Center Sc |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 18200 W Capitol Dr Ste 103, Brookfield, Wisconsin |
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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: 1619567054
- Provider Enumeration Date: 01/20/2021
- Last Update Date: 05/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 6406263730
- Enrollment ID: O20210401001423
Medical Identifiers
Medical identifiers for Holtebeck Eye Center Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619567054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (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.
Holtebeck Eye Center Sc acts as a billing entity for following providers:
Provider Name | Aaron Holtebeck |
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Provider Type | Practitioner - Ophthalmology |
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Provider Identifiers | NPI Number: 1760400147 PECOS PAC ID: 3577566256 Enrollment ID: I20060818000193 |
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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. Holtebeck Eye Center Sc 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 |
Holtebeck Eye Center Sc 18200 W Capitol Dr Ste 103, Brookfield, WI 53045-1445 Ph: (262) 393-2020 | Holtebeck Eye Center Sc 18200 W Capitol Dr Ste 103, Brookfield, WI 53045-1445 Ph: (262) 393-2020 |
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