Pranaya Bista, in Mequon, WI - Medicare Optometry Provider

Pranaya Bista, is a medicare enrolled "Optometrist" provider in Mequon, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 2021 and has 4 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 10996 N Port Washington Rd, Mequon, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 240-9870.

Pranaya Bista is licensed to practice in Wisconsin (license number 3694-35) 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 1124792411.

Contact Information

	Pranaya Bista,
	10996 N Port Washington Rd, Mequon, WI 53092-5031
	(262) 240-9870
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pranaya Bista
Gender	Male
Speciality	Optometry
Experience	4 Years
Location	10996 N Port Washington Rd, Mequon, 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:

Pranaya Bista attended and graduated from Illinois College Of Optometry At Chicago in 2021

NPI Data:

NPI Number: 1124792411
Provider Enumeration Date: 08/02/2021
Last Update Date: 08/02/2021

Medicare PECOS Information:

PECOS PAC ID: 2769889393
Enrollment ID: I20210924001767

Medical Identifiers

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

Identifier	Type	State	Issuer
1124792411	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	3694-35 (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. Pranaya Bista 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. Pranaya Bista 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
Pranaya Bista, 13660 W Wildflower Ln, New Berlin, WI 53151-7556 Ph: (414) 241-4611	Pranaya Bista, 10996 N Port Washington Rd, Mequon, WI 53092-5031 Ph: (262) 240-9870

Reviews and Comments

Optometrist in Mequon, WI

Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10800 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848 Fax: 262-241-9865
David Zolot, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11340 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-0455 Fax: 262-240-0460
Dr. Jolie Denise Legate, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10800 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848
Janice Le, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 11340 N. Pt. Washington Rd., Mequon, WI 53092 Phone: 262-240-0455
Lakeshore Eye Care Professionals, S.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10320 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-1919 Fax: 262-241-9046
Renee Haefs, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10938 N Port Washington Rd, Mequon, WI 53092 Phone: 262-241-4848 Fax: 262-241-9865

Pranaya Bista, - Medicare Optometrist in Mequon, WI