Dr Todd M Wiedell, OD is a medicare enrolled "Optometrist" provider in Pequot Lakes, Minnesota. He went to Indiana University - School Of Optometry and graduated in 2004 and has 20 years of diverse experience with area of expertise as Optometry. His current practice location is
30960 Government Dr, Pequot Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 568-5555.
Dr Todd M Wiedell is licensed to practice in Minnesota (license number 2945) 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 1295781425.
Healthcare Provider's Profile
| Full Name | Dr Todd M Wiedell |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 20 Years |
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| Location | 30960 Government Dr, Pequot Lakes, Minnesota |
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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:
- Dr Todd M Wiedell attended and graduated from Indiana University - School Of Optometry in 2004
NPI Data:
- NPI Number: 1295781425
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 01/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931179157
- Enrollment ID: I20040727000546
Medical Identifiers
Medical identifiers for Dr Todd M Wiedell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295781425 | NPI | - | NPPES |
| 176684800 | Medicaid | MN | |
| 314L2WI | Other | MN | BLUE CROSS & BLUE SHIELD |
| 2202446 | Other | MN | MEDICA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 2945 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Todd M Wiedell allows following entities to bill medicare on his behalf.
| Provider Name | Todd M Wiedel Od Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1831428903
PECOS PAC ID: 0941547764
Enrollment ID: O20190131001924 |
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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. Dr Todd M Wiedell 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 |
|---|
Dr Todd M Wiedell, OD
Po Box 176,
Pequot Lakes, MN 56472-0176
Ph: (218) 568-5555 | Dr Todd M Wiedell, OD
30960 Government Dr,
Pequot Lakes, MN 56472-1003
Ph: (218) 568-5555 |
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