Steven Samuelson, OD is a medicare enrolled "Optometrist" provider in Mount Horeb, Wisconsin. He went to Illinois College Of Optometry At Chicago and graduated in 1995 and has 29 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Samuelson Eyecare Llc and his current practice location is
428 W Main St, Mount Horeb, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 437-3377.
Steven Samuelson is licensed to practice in Wisconsin (license number 2640) 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 1275519290.
Healthcare Provider's Profile
| Full Name | Steven Samuelson |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 29 Years |
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| Location | 428 W Main St, Mount Horeb, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Steven Samuelson attended and graduated from Illinois College Of Optometry At Chicago in 1995
NPI Data:
- NPI Number: 1275519290
- Provider Enumeration Date: 12/21/2005
- Last Update Date: 07/09/2010
Medicare PECOS Information:
- PECOS PAC ID: 4880700772
- Enrollment ID: I20101022000188
Medical Identifiers
Medical identifiers for Steven Samuelson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275519290 | NPI | - | NPPES |
| 38595200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2640 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Samuelson Eyecare Llc | 3173644614 | 2 |
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. Steven Samuelson allows following entities to bill medicare on his behalf.
| Provider Name | Samuelson Eyecare Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710072939
PECOS PAC ID: 3173644614
Enrollment ID: O20101022000133 |
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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. Steven Samuelson 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 |
|---|
Steven Samuelson, OD
Po Box 350, 428 W. Main Street,
Mount Horeb, WI 53572-0350
Ph: (608) 437-3377 | Steven Samuelson, OD
428 W Main St,
Mount Horeb, WI 53572-1902
Ph: (608) 437-3377 |
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