Laura Wilshire, OD in Peoria, IL - Medicare Optometrist Provider

Laura Wilshire, OD is a medicare enrolled "Optometrist" provider in Peoria, Illinois. Her current practice location is 8309 N Knoxville Ave, Ste. 1, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 713-3664.

Laura Wilshire is licensed to practice in Illinois (license number 046-011052) 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 1063965515.

Contact Information

	Laura Wilshire, OD
	8309 N Knoxville Ave, Ste. 1, Peoria, IL 61615-2170
	(309) 713-3664
	(309) 693-9754

Map and Direction

Healthcare Provider's Profile

Full Name	Laura Wilshire
Gender	Female
Speciality	Optometrist
Location	8309 N Knoxville Ave, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063965515
Provider Enumeration Date: 08/02/2016
Last Update Date: 08/02/2016

Medicare PECOS Information:

PECOS PAC ID: 2567758279
Enrollment ID: I20160907000329

Medical Identifiers

Medical identifiers for Laura Wilshire such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063965515	NPI	-	NPPES
046011052	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	046-011052 (Illinois)	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. Laura Wilshire allows following entities to bill medicare on her behalf.

Provider Name	Vep Il Optometric Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1528536620 PECOS PAC ID: 3678814217 Enrollment ID: O20190409002694

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. Laura Wilshire 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
Laura Wilshire, OD 8309 N Knoxville Ave, Peoria, IL 61615-2170 Ph: (309) 693-9540	Laura Wilshire, OD 8309 N Knoxville Ave, Ste. 1, Peoria, IL 61615-2170 Ph: (309) 713-3664

Reviews and Comments

Optometrist in Peoria, IL

Dr. Thomas Anderson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 710 W Third Avenue, Peoria, IL 61605 Phone: 309-674-3329 Fax: 309-674-2928
Dr. Shweta R Harvi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8309 N Knoxville Ave, Peoria, IL 61615 Phone: 309-693-9540 Fax: 309-693-9542
Vision Care Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 4727 N Sheridan Rd, Peoria, IL 61614 Phone: 309-670-2020 Fax: 309-693-2536
Peoria Eye Professionals Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4203 N Sheridan Rd, Ste A1-4, Peoria, IL 61614 Phone: 309-686-0763 Fax: 309-685-8809
Dr. Donald L Buehler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8921 N. Wood Sage Rd., Peoria, IL 61615 Phone: 309-243-2400 Fax: 309-243-7918
Optik Boutique Optometrist Medicare: Not Enrolled in Medicare Practice Location: 456 Fulton St, Suite 140, Peoria, IL 61602 Phone: 309-674-6633 Fax: 309-674-6694

Laura Wilshire, OD - Medicare Optometrist in Peoria, IL