Nicholas George Hafeman, OD in Appleton, WI - Medicare Optometry Provider

Nicholas George Hafeman, OD is a medicare enrolled "Optometrist" provider in Appleton, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1999 and has 25 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Shoptikal Llc and his current practice location is 4301 W Wisconsin Ave, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 730-8770.

Nicholas George Hafeman is licensed to practice in Wisconsin (license number 2770 - 035) 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 1114074416.

Contact Information

	Nicholas George Hafeman, OD
	4301 W Wisconsin Ave, Appleton, WI 54913-8605
	(920) 730-8770
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicholas George Hafeman
Gender	Male
Speciality	Optometry
Experience	25 Years
Location	4301 W Wisconsin Ave, Appleton, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicholas George Hafeman attended and graduated from Illinois College Of Optometry At Chicago in 1999

NPI Data:

NPI Number: 1114074416
Provider Enumeration Date: 01/05/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4486556750
Enrollment ID: I20040126000797

Medical Identifiers

Medical identifiers for Nicholas George Hafeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114074416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2770 - 035 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shoptikal Llc	1456684471	169

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. Nicholas George Hafeman allows following entities to bill medicare on his behalf.

Provider Name	Shoptikal Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1659937159 PECOS PAC ID: 1456684471 Enrollment ID: O20190606001553

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. Nicholas George Hafeman 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
Nicholas George Hafeman, OD 4301 W Wisconsin Ave, Fox River Mall, Appleton, WI 54913-8605 Ph: (920) 757-9580	Nicholas George Hafeman, OD 4301 W Wisconsin Ave, Appleton, WI 54913-8605 Ph: (920) 730-8770

Reviews and Comments

Optometrist in Appleton, WI

Paul K Thompson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E Northland Ave, Suite A, Appleton, WI 54911 Phone: 920-734-8714 Fax: 920-734-8785
Kimberly Landwehr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 Park Pl, Appleton, WI 54914 Phone: 920-739-4361 Fax: 920-739-6368
Optivision Eye Care Llp Optometrist Medicare: Medicare Enrolled Practice Location: 223 S Nicolet Rd, Appleton, WI 54914 Phone: 920-733-5888 Fax: 920-733-5151
Dr. Katie Abata, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 21 Park Pl, Appleton, WI 54914 Phone: 920-739-4361 Fax: 920-739-6368
Maya Jillian Pollock, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1225 W Northland Ave, Appleton, WI 54914 Phone: 920-731-2020 Fax: 920-733-2117
Mark Wade, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2700 W College Ave, Appleton, WI 54914 Phone: 920-735-9580
Sullivan Eye Center, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1195 N Casaloma Dr, Appleton, WI 54913 Phone: 920-734-0400 Fax: 920-734-9054

Nicholas George Hafeman, OD - Medicare Optometrist in Appleton, WI