John W Schaefer, OD | |
205 Division St, Mauston, WI 53948-2109 | |
(608) 847-6264 | |
(608) 847-7279 |
Full Name | John W Schaefer |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 205 Division St, Mauston, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295816866 | NPI | - | NPPES |
38516200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1761 (Wisconsin) | Primary |
Provider Name | Mauston Family Eyecare, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932745163 PECOS PAC ID: 0345676953 Enrollment ID: O20200130000322 |
Mailing Address | Practice Location Address |
---|---|
John W Schaefer, OD 205 Division St, Mauston, WI 53948-2109 Ph: (608) 847-6264 | John W Schaefer, OD 205 Division St, Mauston, WI 53948-2109 Ph: (608) 847-6264 |
Christine Ferchoff Renner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 201 E State St, Mauston, WI 53948 Phone: 608-847-6264 | |
John W. Schaefer, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 Division St., Mauston, WI 53948 Phone: 608-847-6264 Fax: 608-847-7279 | |
Mauston Family Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 201 E State St, Mauston, WI 53948 Phone: 608-847-6264 |