Dr Todd M Wiedell, OD is a medicare enrolled "Optometrist" provider in Pequot Lakes, Minnesota. 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 | |
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Experience | 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. |
Medical Education and Training:
- Dr Todd M Wiedell attended and graduated from in
NPI Data:
- NPI Number: 1295781425
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 01/21/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 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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