William R Pierre, OD TPA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1897035 Issued in WI

Practice address

8201 Mishkosen Dr
Forest County Potawatomi Health & Wellness Center
Crandon, WI 54520

Phone

(715) 478-4300

Fax

(715) 478-4490

NPI assigned

Aug 4, 2006

Last updated

Dec 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern California College of Optometry, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forest County Potawatomi CommunityGroup PAC ID 3375454689, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8439/brand/1/csg/21/fhir/r4
• Direct secure messaging: william.pierre.1@8439.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forest County Potawatomi Community

  dba Potawatomi Health & Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Crandon, WI
  • NPI 1285741306
  Medicare reassignment Care Compare group NPD
• Forest County Potawatomi Health & Wellness Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Crandon, WI
  • NPI 1376650499
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607558400000",
    "number": "1114935095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "545200396",
            "telephone_number": "715-478-4300",
            "fax_number": "715-478-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 MISHKOSEN DR",
            "address_2": "FOREST COUNTY POTAWATOMI HEALTH & WELLNESS CENTER",
            "city": "CRANDON",
            "state": "WI",
            "postal_code": "54520",
            "telephone_number": "715-478-4300",
            "fax_number": "715-478-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERRE",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "OD TPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1897035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38523300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "72023",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northwoods Behavioral Health Center, LLC
• Jasee Novak
• Audra A Olson, RPH
• Paul Linderud (Crandon Pharmacy)
• Rebecca D Perry, MD
• Gary M Pusateri, MD
• Robert Lee Quade, RN
• Kristen Radloff, FNP, APNP
• Katherine Richlen, RD
• Kirk R Ritchie, DDS

• Optometrist in Crandon, WI
• Providers in Crandon, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.