Maya Jillian Pollock, OD - Medicare Optometrist in Appleton, WI

Maya Jillian Pollock, OD is a medicare enrolled "Optometrist" provider in Appleton, Wisconsin. Her current practice location is 1225 W Northland Ave, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-2020.

Maya Jillian Pollock is licensed to practice in Wisconsin (license number 3817-35) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083336283.

Contact Information

Maya Jillian Pollock, OD
1225 W Northland Ave,
Appleton, WI 54914-1416
(920) 731-2020
(920) 733-2117



Healthcare Provider's Profile

Full NameMaya Jillian Pollock
GenderFemale
SpecialityOptometrist
Location1225 W Northland Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083336283
  • Provider Enumeration Date: 09/14/2022
  • Last Update Date: 09/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4082090675
  • Enrollment ID: I20221005001982

Medical Identifiers

Medical identifiers for Maya Jillian Pollock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083336283NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 3817-35 (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Maya Jillian Pollock allows following entities to bill medicare on her behalf.
Provider NameJorgensen, Schulz And Associates Eyecare Center, Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1588784979
PECOS PAC ID: 7911985528
Enrollment ID: O20040709001426

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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. Maya Jillian Pollock 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 AddressPractice Location Address
Maya Jillian Pollock, OD
1225 W Northland Ave,
Appleton, WI 54914-1416

Ph: (612) 295-4848
Maya Jillian Pollock, OD
1225 W Northland Ave,
Appleton, WI 54914-1416

Ph: (920) 731-2020

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Optometrist in Appleton, WI

Paul K Thompson, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1301 E Northland Ave, Suite A, Appleton, WI 54911
Phone: 920-734-8714    Fax: 920-734-8785
Kimberly Landwehr, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 21 Park Pl, Appleton, WI 54914
Phone: 920-739-4361    Fax: 920-739-6368
Optivision Eye Care Llp
Optometrist
Medicare: Medicare Enrolled
Practice Location: 223 S Nicolet Rd, Appleton, WI 54914
Phone: 920-733-5888    Fax: 920-733-5151
Dr. Katie Abata, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 21 Park Pl, Appleton, WI 54914
Phone: 920-739-4361    Fax: 920-739-6368
Mark Wade, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 2700 W College Ave, Appleton, WI 54914
Phone: 920-735-9580    
Sullivan Eye Center, S.c.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1195 N Casaloma Dr, Appleton, WI 54913
Phone: 920-734-0400    Fax: 920-734-9054

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