Stateline Vision Center Llc - Medicare Optometrist in Monroe, WI

Stateline Vision Center Llc is a medicare enrolled "Optometrist" provider in Monroe, Wisconsin. Their current practice location is 250 N 18th Ave Ste 105, Monroe, Wisconsin. You can reach out to their office (for appointments etc.) via phone at (920) 216-3133.

Stateline Vision Center Llc is licensed to practice in Wisconsin (license number 3082) and it also participates in the medicare program. Stateline Vision Center Llc 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 1104219039.

Contact Information

Stateline Vision Center Llc
250 N 18th Ave Ste 105,
Monroe, WI 53566-1482
(920) 216-3133
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameStateline Vision Center Llc
TypeFacility
SpecialityOptometrist
Location250 N 18th Ave Ste 105, Monroe, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104219039
  • Provider Enumeration Date: 03/17/2015
  • Last Update Date: 09/16/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880914944
  • Enrollment ID: O20150513002591

Medical Identifiers

Medical identifiers for Stateline Vision Center Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104219039NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3082 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Stateline Vision Center Llc acts as a billing entity for following providers:
Provider NameAndrew M Josephs
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700083169
PECOS PAC ID: 7911008966
Enrollment ID: I20070720000749

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. Stateline Vision Center Llc 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 AddressPractice Location Address
Stateline Vision Center Llc
250 N 18th Ave Ste 105,
Monroe, WI 53566-1482

Ph: (608) 325-7200
Stateline Vision Center Llc
250 N 18th Ave Ste 105,
Monroe, WI 53566-1482

Ph: (920) 216-3133

Reviews and Comments


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Dr. David Allan Emmerich, O.D.
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Medicare: Medicare Enrolled
Practice Location: 405 W 8th St, Monroe, WI 53566
Phone: 608-328-3333    Fax: 608-328-3305

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.