Lauren Ta, OD is a medicare enrolled "Optometrist" provider in Mount Horeb, Wisconsin. She went to Illinois College Of Optometry At Chicago and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Samuelson Eyecare Llc and her current practice location is
428 W Main St, Mount Horeb, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 437-3377.
Lauren Ta is licensed to practice in Wisconsin (license number 2644) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1811973605.
Healthcare Provider's Profile
| Full Name | Lauren Ta |
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| Gender | Female |
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| Speciality | Optometry |
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| Experience | 29 Years |
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| Location | 428 W Main St, Mount Horeb, Wisconsin |
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| Accepts Medicare Assignments | Yes. She 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:
- Lauren Ta attended and graduated from Illinois College Of Optometry At Chicago in 1995
NPI Data:
- NPI Number: 1811973605
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 07/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 1951411206
- Enrollment ID: I20101022000224
Medical Identifiers
Medical identifiers for Lauren Ta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811973605 | NPI | - | NPPES |
| 38600400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2644 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samuelson Eyecare Llc | 3173644614 | 2 |
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. Lauren Ta allows following entities to bill medicare on her behalf.
| Provider Name | Samuelson Eyecare Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710072939
PECOS PAC ID: 3173644614
Enrollment ID: O20101022000133 |
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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. Lauren Ta 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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Lauren Ta, OD
428 W Main St, Po Box 350,
Mount Horeb, WI 53572-1902
Ph: (608) 437-3377 | Lauren Ta, OD
428 W Main St,
Mount Horeb, WI 53572-1902
Ph: (608) 437-3377 |
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