<unavail> in Maple Grove, MN - Medicare Optometrist Provider

is a medicare enrolled "Optometrist" provider in Maple Grove, Minnesota. Their current practice location is 13334 Bass Lake Road North, Maple Grove, Minnesota. You can reach out to their office (for appointments etc.) via phone at (320) 212-0500.

is licensed to practice in Minnesota (license number 3085) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720535263.

Contact Information


	13334 Bass Lake Road North, Maple Grove, MN 55311
	(320) 212-0500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name
Type	Facility
Speciality	Optometrist
Location	13334 Bass Lake Road North, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720535263
Provider Enumeration Date: 09/01/2016
Last Update Date: 09/21/2016

Medicare PECOS Information:

PECOS PAC ID: 9638450752
Enrollment ID: O20170104001636

Medical Identifiers

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

Identifier	Type	State	Issuer
1720535263	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3085 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Londa L Fischer Costello
Provider Type	Practitioner - Optometry
Provider Identifiers	NPI Number: 1942401039 PECOS PAC ID: 5799879771 Enrollment ID: I20070921000127

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. 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
21 Skyview Dr, Sauk Rapids, MN 56379-1318 Ph: (320) 212-0500	13334 Bass Lake Road North, Maple Grove, MN 55311 Ph: (320) 212-0500

Reviews and Comments

Optometrist in Maple Grove, MN

Scott A Frick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13645 Grove Dr N, Maple Grove, MN 55311 Phone: 763-420-8030 Fax: 763-420-9842
Tlc Of The Twin Cities Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11330 Fountains Dr, Maple Grove, MN 55369 Phone: 763-494-8061
Dr. Kelly Crenna, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Rd, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957
Renee M Ritzer, OD Optometrist Medicare: Medicare Enrolled Practice Location: 13195 Weaver Lake Road, Maple Grove, MN 55369 Phone: 763-599-0153 Fax: 763-420-6957
Dr. Brad Alan Weeks, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 12750 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-553-1811 Fax: 763-553-0131
Optometrist Medicare: Medicare Enrolled Practice Location: 7880 Main St N, Maple Grove, MN 55369 Phone: 763-420-6981 Fax: 763-773-7253
Maple Grove Eye Care, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 9885 Maple Grove Parkway, Maple Grove, MN 55369 Phone: 952-807-4173

- Medicare Optometrist in Maple Grove, MN