Jon M Williamson, OD is a medicare enrolled "Optometrist" provider in Sparta, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1985 and has 39 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Gundersen Clinic Ltd and his current practice location is
1111 W Wisconsin St, Sparta, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 269-6731.
Jon M Williamson is licensed to practice in Wisconsin (license number 2115) 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 1932104114.
Healthcare Provider's Profile
| Full Name | Jon M Williamson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 39 Years |
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| Location | 1111 W Wisconsin St, Sparta, 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:
- Jon M Williamson attended and graduated from Illinois College Of Optometry At Chicago in 1985
NPI Data:
- NPI Number: 1932104114
- Provider Enumeration Date: 06/15/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3072551191
- Enrollment ID: I20050420000202
Medical Identifiers
Medical identifiers for Jon M Williamson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932104114 | NPI | - | NPPES |
| 38584300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2115 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gundersen Clinic Ltd | 9638082779 | 325 |
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. Jon M Williamson allows following entities to bill medicare on his behalf.
| Provider Name | Gundersen Clinic Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851343115
PECOS PAC ID: 9638082779
Enrollment ID: O20031106000139 |
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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. Jon M Williamson 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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Jon M Williamson, OD
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Jon M Williamson, OD
1111 W Wisconsin St,
Sparta, WI 54656-2233
Ph: (608) 269-6731 |
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