Teresa Elm, in Green Bay, WI - Medicare Optometrist Provider

Teresa Elm, is a medicare enrolled "Optometrist" provider in Green Bay, Wisconsin. Her current practice location is 2811 S Oneida St, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-9699.

Teresa Elm is licensed to practice in Wisconsin (license number 2700-035) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124113402.

Contact Information

	Teresa Elm,
	2811 S Oneida St, Green Bay, WI 54304-5748
	(920) 496-9699
	(920) 496-1540

Map and Direction

Healthcare Provider's Profile

Full Name	Teresa Elm
Gender	Female
Speciality	Optometrist
Location	2811 S Oneida St, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124113402
Provider Enumeration Date: 10/04/2006
Last Update Date: 12/07/2017

Medicare PECOS Information:

PECOS PAC ID: 3173592631
Enrollment ID: I20041011000264

Medical Identifiers

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

Identifier	Type	State	Issuer
1124113402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	2700-035 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Teresa Elm allows following entities to bill medicare on her behalf.

Provider Name	Dr. Elm And Associates Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902089428 PECOS PAC ID: 1355498296 Enrollment ID: O20090413000309

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. Teresa Elm 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
Teresa Elm, 2811 S Oneida St, Green Bay, WI 54304-5748 Ph: (920) 496-9699	Teresa Elm, 2811 S Oneida St, Green Bay, WI 54304-5748 Ph: (920) 496-9699

Reviews and Comments

Optometrist in Green Bay, WI

Brad J Lavallie, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2253 W Mason St, Green Bay, WI 54303 Phone: 920-327-7000 Fax: 920-327-7005
Gregory N Hubertus, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 550 N Military Ave, Ste 10, Green Bay, WI 54303 Phone: 920-498-2020 Fax: 920-498-2269
April Kathleen Swim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700 Fax: 920-496-4705
Dr. Michelle Marie Mueller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 216 S Military Ave, Green Bay, WI 54303 Phone: 920-494-3384
Dr. James Leigh Elm, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2811 S Oneida St, Green Bay, WI 54304 Phone: 920-496-9699 Fax: 920-496-1540
Paye Eye Care Center Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1515 Sixth St, Green Bay, WI 54304 Phone: 920-499-2147 Fax: 920-499-0574

Teresa Elm, - Medicare Optometrist in Green Bay, WI