Callie MP Maursetter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3161-035 Issued in WI

Practice address

3225 E Washington Ave
Madison, WI 53704-4361

Phone

(608) 249-5548

Fax

(608) 249-5548

NPI assigned

Nov 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Callie M Peotter Former name

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

Illinois College of Optometry at Chicago, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Isthmus Eye Care SCGroup PAC ID 9032011002, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: callie.maursetter@direct.revolutionehr.com

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

• Isthmus Eye Care SC

  • Optometrist
  • Middleton, WI
  • NPI 1578554390
  Medicare reassignment Care Compare group NPD
• University of South Alabama Health Care Authority

  • Internal Medicine Physician
  • Mobile, AL
  • NPI 1508392432
  NPD (past)

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294704000000",
    "number": "1699001222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044361",
            "telephone_number": "612-963-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 E WASHINGTON AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537044361",
            "telephone_number": "608-249-5548",
            "fax_number": "608-249-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURSETTER",
        "first_name": "CALLIE",
        "middle_name": "MP",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-02",
        "last_updated": "2011-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3161-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "PEOTTER",
            "middle_name": "M",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gregory M Matzke, MD
• Sarah Maudlin, M.D.
• Adam Mauer
• Abbrielle Mauerman
• Courtney M Maurer, NP
• Emmalynn Maury, SAC-IT
• Toni Maves
• Sarbjit K Mavi, RN
• Lydia T. Mawad Melendez, M.D.
• Max Transit Service LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.