Dr Gary John Burkhardt, OD in Chilton, WI - Medicare Optometrist Provider

Dr Gary John Burkhardt, OD is a medicare enrolled "Optometrist" provider in Chilton, Wisconsin. His current practice location is 19 W Main St, Chilton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 849-4291.

Dr Gary John Burkhardt is licensed to practice in Wisconsin (license number 1989035) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861479412.

Contact Information

	Dr Gary John Burkhardt, OD
	19 W Main St, Chilton, WI 53014-1323
	(920) 849-4291
	(920) 849-4292

Healthcare Provider's Profile

Full Name	Dr Gary John Burkhardt
Gender	Male
Speciality	Optometrist
Location	19 W Main St, Chilton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861479412
Provider Enumeration Date: 12/26/2005
Last Update Date: 01/28/2013

Medicare PECOS Information:

PECOS PAC ID: 8123065760
Enrollment ID: I20050414000626

Medical Identifiers

Medical identifiers for Dr Gary John Burkhardt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861479412	NPI	-	NPPES
38588600	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1989035 (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. Dr Gary John Burkhardt 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 Gary John Burkhardt, OD 19 W Main St, Chilton, WI 53014-1323 Ph: (920) 849-4291	Dr Gary John Burkhardt, OD 19 W Main St, Chilton, WI 53014-1323 Ph: (920) 849-4291

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Optometrist in Chilton, WI

Dr. Tracy L Rosiek, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 810 S Irish Rd, Chilton, WI 53014
Phone: 920-849-8467 Fax: 920-849-8469

Dr Gary John Burkhardt, OD - Medicare Optometrist in Chilton, WI