Lisa La Susa, OD in West Bend, WI - Medicare Optometry Provider

Lisa La Susa, OD is a medicare enrolled "Optometrist" provider in West Bend, Wisconsin. She went to International American University At Puerto Rico - School Of Optometry and graduated in 2013 and has 11 years of diverse experience with area of expertise as Optometry. She is a member of the group practice Wagnertc P C and her current practice location is 1437 S Main St, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 334-1925.

Lisa La Susa is licensed to practice in Wisconsin (license number 3336-35) 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 1730593310.

Contact Information

	Lisa La Susa, OD
	1437 S Main St, West Bend, WI 53095-4931
	(262) 334-1925
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lisa La Susa
Gender	Female
Speciality	Optometry
Experience	11 Years
Location	1437 S Main St, West Bend, 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.

Medical Education and Training:

Lisa La Susa attended and graduated from International American University At Puerto Rico - School Of Optometry in 2013

NPI Data:

NPI Number: 1730593310
Provider Enumeration Date: 06/11/2014
Last Update Date: 06/11/2014

Medicare PECOS Information:

PECOS PAC ID: 7517206105
Enrollment ID: I20190226001105

Medical Identifiers

Medical identifiers for Lisa La Susa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730593310	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3336-35 (Wisconsin)	Primary
152W00000X	Optometrist	8496T (Texas)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wagnertc P C	7719226489	4

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. Lisa La Susa allows following entities to bill medicare on her behalf.

Provider Name	Wagnertc P C
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750576435 PECOS PAC ID: 7719226489 Enrollment ID: O20190226000157

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. Lisa La Susa 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
Lisa La Susa, OD 1437 S Main St, West Bend, WI 53095-4931 Ph: () -	Lisa La Susa, OD 1437 S Main St, West Bend, WI 53095-4931 Ph: (262) 334-1925

Reviews and Comments

Optometrist in West Bend, WI

West Bend Optical, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3720 W. Washington St., West Bend, WI 53095 Phone: 262-338-1800 Fax: 262-338-1947
Visionworks Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1437 S. Main St., West Bend, WI 53095 Phone: 262-334-1925
Dr. Jerry Alan Olson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3720 W. Washington Street, West Bend, WI 53095 Phone: 262-338-1800 Fax: 262-338-1947
John F. Weaver, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123
Dr. John O Schroder, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 205 Valley Ave, West Bend, WI 53095 Phone: 262-338-1123 Fax: 262-338-7684
West Bend Clinic, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451
Andrew J Baldus, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 414-454-7734

Lisa La Susa, OD - Medicare Optometrist in West Bend, WI