Mark R Winckler, OD is a medicare enrolled "Optometrist" provider in Pine Ridge, South Dakota. He went to Illinois College Of Optometry At Chicago and graduated in 2006 and has 19 years of diverse experience with area of expertise as Optometry. His current practice location is
207 E Main St Ste 1, Pine Ridge, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 867-2772.
Mark R Winckler is licensed to practice in Nebraska (license number 1269) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1538268388.
Healthcare Provider's Profile
| Full Name | Mark R Winckler |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 19 Years |
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| Location | 207 E Main St Ste 1, Pine Ridge, South Dakota |
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| Accepts Medicare Assignments | Yes. He 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:
- Mark R Winckler attended and graduated from Illinois College Of Optometry At Chicago in 2006
NPI Data:
- NPI Number: 1538268388
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 01/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406854173
- Enrollment ID: I20070705000162
Medical Identifiers
Medical identifiers for Mark R Winckler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538268388 | NPI | - | NPPES |
| 09902 | Other | NE | BCBS OF NE |
| 4993077 | Other | SD | WELLMARK BCBS |
| 9203683 | Medicaid | SD | |
| 9203680 | Medicaid | SD | |
| P00390774 | Other | NE | RR MEDICARE |
| 9203682 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 631 (South Dakota) | Secondary |
| 152W00000X | Optometrist | 1269 (Nebraska) | 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. Mark R Winckler allows following entities to bill medicare on his behalf.
| Provider Name | Chadron Vision Center, Inc. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134142243
PECOS PAC ID: 8123073574
Enrollment ID: O20070705000033 |
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| Provider Name | Winckler Vision Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134142243
PECOS PAC ID: 2264876028
Enrollment ID: O20240220002588 |
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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. Mark R Winckler 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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Mark R Winckler, OD
Po Box 399,
Pine Ridge, SD 57770-0399
Ph: (605) 867-2772 | Mark R Winckler, OD
207 E Main St Ste 1,
Pine Ridge, SD 57770-3184
Ph: (605) 867-2772 |
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