Dr Michael Wallerich, OD | |
1300 University Ave W, Saint Paul, MN 55104-4103 | |
(612) 643-3525 | |
(612) 299-1452 |
Full Name | Dr Michael Wallerich |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 7 Years |
Location | 1300 University Ave W, Saint Paul, Minnesota |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881135093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WP0200X | Optometrist - Pediatrics | MN3573 (Minnesota) | Secondary |
152W00000X | Optometrist | 3573 (Minnesota) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Wallerich Eye Care Llc | 6002143005 | 2 |
Provider Name | Wallerich Eye Care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194377671 PECOS PAC ID: 6002143005 Enrollment ID: O20190814001796 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Wallerich, OD 1300 University Ave W, Saint Paul, MN 55104-4103 Ph: (612) 643-3525 | Dr Michael Wallerich, OD 1300 University Ave W, Saint Paul, MN 55104-4103 Ph: (612) 643-3525 |
Kennedy Eye Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1790 Lexington Ave N, Saint Paul, MN 55113 Phone: 651-488-6771 Fax: 651-488-5576 | |
Maggie Scott, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1360 University Ave W Ste 106, Saint Paul, MN 55104 Phone: 651-251-0317 | |
Dr. Julie M Blenker, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 261 Ruth St N Ste E, Saint Paul, MN 55119 Phone: 651-739-5173 Fax: 651-739-8907 | |
John Heyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1020 Bandana Blvd W, Saint Paul, MN 55108 Phone: 651-241-7000 | |
Dr. Matthew Thomas Hendricks, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 401 Phalen Blvd, Saint Paul, MN 55130 Phone: 651-254-7500 | |
Broecker Eye & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 2356 University Ave W, Suite 260, Saint Paul, MN 55114 Phone: 651-645-8124 Fax: 651-645-8125 | |
Dr. David Andrew Spande, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1300 University Ave W, Optical Clinic, Saint Paul, MN 55104 Phone: 651-641-6181 Fax: 651-646-3292 |