DR. MICHAEL JOSEPH BANNON OD
NPI 1124645585
Optometrist in Watertown, WI
About Dr. Michael Joseph Bannon Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MICHAEL JOSEPH BANNON OD (NPI 1124645585) is an individual optometrist in Watertown, Wisconsin, licensed in Wisconsin (3625-35) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Michael Joseph Bannon Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Michael Bannon's NPI number?
The NPI number for Michael Bannon is 1124645585. It was assigned to this individual provider in the NPPES registry on July 1, 2020.
Where is Michael Bannon located?
Michael Bannon practices at 1500 S Church St, Watertown, WI 53094. The listed phone number is (920) 261-9225.
What is Michael Bannon's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Michael Bannon enrolled in Medicare?
Yes. Michael Bannon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Michael Bannon accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 5 other insurers list Michael Bannon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michael Bannon was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Michael Joseph Bannon, OD · NPI 1124645585
Optometrist provider in Watertown, Wisconsin. Individual provider, active in the CMS NPPES registry since July 1, 2020.
## Identity
- **NPI:** 1124645585 (Entity type: Individual)
- **Enumerated:** July 1, 2020
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 3625-35 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 S CHURCH ST, Watertown, WI 53094-6404
- **Phone:** (920) 261-9225
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Illinois College Of Optometry At Chicago, class of 2020
## Record status
- **NPPES last updated:** July 1, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1124645585) · Data from the CMS NPPES public registry.