Katie Marie Buchholz, OD in Manitowoc, WI - Medicare Optometrist Provider

Katie Marie Buchholz, OD is a medicare enrolled "Optometrist" provider in Manitowoc, Wisconsin. Her current practice location is 4801 Expo Dr, Manitowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 684-4429.

Katie Marie Buchholz is licensed to practice in Wisconsin (license number 3315-35) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1043652720.

Contact Information

	Katie Marie Buchholz, OD
	4801 Expo Dr, Manitowoc, WI 54220-9341
	(920) 684-4429
	(920) 684-6892

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Marie Buchholz
Gender	Female
Speciality	Optometrist
Location	4801 Expo Dr, Manitowoc, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043652720
Provider Enumeration Date: 07/23/2013
Last Update Date: 01/24/2020

Medicare PECOS Information:

PECOS PAC ID: 2264674415
Enrollment ID: I20130816000873

Medical Identifiers

Medical identifiers for Katie Marie Buchholz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043652720	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3315-35 (Wisconsin)	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. Katie Marie Buchholz allows following entities to bill medicare on her behalf.

Provider Name	Eyeguyz I Ltd
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1194856831 PECOS PAC ID: 8325071996 Enrollment ID: O20050914000567

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. Katie Marie Buchholz 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
Katie Marie Buchholz, OD 695 W Silver Spring Dr, Glendale, WI 53217-4922 Ph: (414) 961-6000	Katie Marie Buchholz, OD 4801 Expo Dr, Manitowoc, WI 54220-9341 Ph: (920) 684-4429

Reviews and Comments

Optometrist in Manitowoc, WI

Jordyn Christine King, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1111 Bayshore Dr, Manitowoc, WI 54220 Phone: 920-684-4429 Fax: 920-684-6892
Dr. Donald James Domrath, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 Calumet Ave, Manitowoc, WI 54220 Phone: 920-683-2244
Cole Barnhart, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4550 Calumet Ave, Manitowoc, WI 54220 Phone: 920-683-2244
Dr. Brian F Cook, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3415 Calumet Ave, Manitowoc, WI 54220 Phone: 920-683-2244 Fax: 920-684-7706
Ronald Demark, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3415 Calumet Ave, Manitowoc, WI 54220 Phone: 920-683-2244 Fax: 920-684-7706
Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 E Magnolia Ave, Manitowoc, WI 54220 Phone: 920-686-1000

Katie Marie Buchholz, OD - Medicare Optometrist in Manitowoc, WI