Jonathan Paul Judisch, OD is a medicare enrolled "Optometrist" provider in Lake City, Iowa. He went to Illinois College Of Optometry At Chicago and graduated in 2003 and has 21 years of diverse experience with area of expertise as Optometry. His current practice location is
1341 W Main St, Lake City, Iowa. You can reach out to his office (for appointments etc.) via phone at
(712) 464-3136.
Jonathan Paul Judisch is licensed to practice in Iowa (license number 02262) 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 1285784280.
Healthcare Provider's Profile
| Full Name | Jonathan Paul Judisch |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 21 Years |
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| Location | 1341 W Main St, Lake City, Iowa |
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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:
- Jonathan Paul Judisch attended and graduated from Illinois College Of Optometry At Chicago in 2003
NPI Data:
- NPI Number: 1285784280
- Provider Enumeration Date: 01/11/2007
- Last Update Date: 01/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 8426189754
- Enrollment ID: I20100629000960
Medical Identifiers
Medical identifiers for Jonathan Paul Judisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285784280 | NPI | - | NPPES |
| 10025030700 | Medicaid | NE | |
| 35539 | Other | IA | BCBS |
| 0418657 | Medicaid | IA | |
| P00052944 | Other | | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 02262 (Iowa) | Primary |
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. Jonathan Paul Judisch allows following entities to bill medicare on his behalf.
| Provider Name | Judisch Vision Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669521027
PECOS PAC ID: 1658269253
Enrollment ID: O20040305000787 |
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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. Jonathan Paul Judisch 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 |
|---|
Jonathan Paul Judisch, OD
1341 W Main St, Po Box 124,
Lake City, IA 51449-0124
Ph: (712) 464-3136 | Jonathan Paul Judisch, OD
1341 W Main St,
Lake City, IA 51449-0124
Ph: (712) 464-3136 |
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