| Liesl Amon, OD | |
|
1000 N Oak Ave, Marshfield, WI 54449-5703 | |
| (715) 387-5511 | |
| Not Available |
| Full Name | Liesl Amon |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 8 Years |
| Location | 1000 N Oak Ave, Marshfield, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548613722 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3432 - 35 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marshfield Medical Center | Marshfield, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mchs Hospitals Inc | 5698071173 | 1030 |
| Provider Name | Marshfield Clinic Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
| Provider Name | Mchs Hospitals Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Liesl Amon, OD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 | Liesl Amon, OD 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: (715) 387-5511 |
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