Edward W Waldeck, MD in Cudahy, WI - Ophthalmology

Edward W Waldeck, MD is a Ophthalmology physician based in Cudahy, Wisconsin. Edward W Waldeck is licensed to practice in Wisconsin (license number 16654-020) and his current practice location is 6020 S Packard Ave, Cudahy, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (414) 294-4660.

NPI number for Edward W Waldeck is 1912994807 and his current mailing address is 6020 S Packard Ave, Cudahy, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912994807.

Contact Information

	Edward W Waldeck, MD
	6020 S Packard Ave, Cudahy, WI 53110-3028
	(414) 294-4660
	(414) 294-4396

Physician's Profile

Full Name	Edward W Waldeck
Gender	Male
Speciality	Ophthalmology
Location	6020 S Packard Ave, Cudahy, Wisconsin
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1912994807
Provider Enumeration Date: 10/05/2005
Last Update Date: 07/29/2013

Medical Identifiers

Medical identifiers for Edward W Waldeck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912994807	NPI	-	NPPES
39-1484998E	Other	WI	HUMANA
391484998011	Other	WI	BC/CC
391484998	Other	WI	TAX ID
180021822	Other	WI	RR MEDICARE
0800048	Other	WI	PRIMECARE
30936100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	16654-020 (Wisconsin)	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. Edward W Waldeck is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Edward W Waldeck, MD 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660	Edward W Waldeck, MD 6020 S Packard Ave, Cudahy, WI 53110-3028 Ph: (414) 294-4660

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Edward W Waldeck, MD - Ophthalmology in Cudahy, WI