Andrew L Rust Optometrist Sc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Plover, Wisconsin. The current practice location for Andrew L Rust Optometrist Sc is 250 Crossroads Dr, Plover, Wisconsin. For appointments, you can reach them via phone at
(715) 345-9588. The mailing address for Andrew L Rust Optometrist Sc is 1510 Ashwood Dr, Plover, Wisconsin and phone number is () -.
Andrew L Rust Optometrist Sc is licensed to practice in Wisconsin (license number 2810). The clinic also participates in the medicare program and its
NPI number is 1164655882. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(715) 345-9588.
Primary Care Clinic Profile
| Full Name | Andrew L Rust Optometrist Sc |
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| Speciality | Clinic/Center |
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| Location | 250 Crossroads Dr, Plover, Wisconsin |
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| Authorized Official Name and Position | Andrew Rust (OWNER/PRESIDENT) |
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| Authorized Official Contact | 7153413318 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Andrew L Rust Optometrist Sc
1510 Ashwood Dr
Plover
WI 54467-2466
Ph: () - | Andrew L Rust Optometrist Sc
250 Crossroads Dr
Plover
WI 54467-4124
Ph: (715) 345-9588 |
NPI Details:
| NPI Number | 1164655882 |
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| Provider Enumeration Date | 08/27/2009 |
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| Last Update Date | 08/27/2009 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 1850447129 |
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| Medicare Enrollment ID | O20090929000234 |
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Medical Identifiers
Medical identifiers for Andrew L Rust Optometrist Sc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1164655882 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261QP2300X | Clinic/center - Primary Care | 2810 (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.
Andrew L Rust Optometrist Sc acts as a billing entity for following providers:
| Provider Name | Andrew L Rust |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1891802005
PECOS PAC ID: 9335161587
Enrollment ID: I20051230000609 |
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