Jacob A Kozisek, OD in Green Bay, WI - Medicare Optometry Provider

Jacob A Kozisek, OD is a medicare enrolled "Optometrist" provider in Green Bay, Wisconsin. He went to New England College Of Optometry and graduated in 2009 and has 15 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Baycare Clinic Llp and his current practice location is 2253 W Mason St, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 327-7000.

Jacob A Kozisek is licensed to practice in Wisconsin (license number 3173) 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 1306075635.

Contact Information

	Jacob A Kozisek, OD
	2253 W Mason St, Green Bay, WI 54303-4706
	(920) 327-7000
	(920) 327-7005

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob A Kozisek
Gender	Male
Speciality	Optometry
Experience	15 Years
Location	2253 W Mason St, Green Bay, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob A Kozisek attended and graduated from New England College Of Optometry in 2009

NPI Data:

NPI Number: 1306075635
Provider Enumeration Date: 07/08/2009
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 9739232638
Enrollment ID: I20100902000459

Medical Identifiers

Medical identifiers for Jacob A Kozisek such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306075635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3173 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Baycare Clinic Llp	4385554328	183

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. Jacob A Kozisek allows following entities to bill medicare on his behalf.

Provider Name	Baycare Clinic Llp
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

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. Jacob A Kozisek 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
Jacob A Kozisek, OD 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046	Jacob A Kozisek, OD 2253 W Mason St, Green Bay, WI 54303-4706 Ph: (920) 327-7000

Reviews and Comments

Optometrist in Green Bay, WI

Brad J Lavallie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005
Gregory N Hubertus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 N Military Ave, Ste 10, Green Bay, WI 54303 Phone: 920-498-2020 Fax: 920-498-2269
April Kathleen Swim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Michelle Marie Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Military Ave, Green Bay, WI 54303 Phone: 920-494-3384
Dr. James Leigh Elm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540
Paye Eye Care Center Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 Sixth St, Green Bay, WI 54304 Phone: 920-499-2147 Fax: 920-499-0574
Teresa Elm, Optometrist Medicare: Medicare Enrolled Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540

Jacob A Kozisek, OD - Medicare Optometrist in Green Bay, WI