Dr David L Brouillette, DC is a medicare enrolled "Chiropractor" provider in Fredonia, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 1992 and has 32 years of diverse experience with area of expertise as Chiropractic. His current practice location is
511 Fredonia Ave, Fredonia, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 692-6747.
Dr David L Brouillette is licensed to practice in Wisconsin (license number 2907) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245234772.
Healthcare Provider's Profile
| Full Name | Dr David L Brouillette |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 32 Years |
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| Location | 511 Fredonia Ave, Fredonia, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David L Brouillette attended and graduated from Palmer College Chiropractic - Davenport in 1992
NPI Data:
- NPI Number: 1245234772
- Provider Enumeration Date: 06/13/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7416043013
- Enrollment ID: I20071012000086
Medical Identifiers
Medical identifiers for Dr David L Brouillette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245234772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2907 (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. Dr David L Brouillette allows following entities to bill medicare on his behalf.
| Provider Name | Dr. David L. Brouillette, D.c., S.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780735894
PECOS PAC ID: 6103912712
Enrollment ID: O20071012000125 |
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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. Dr David L Brouillette 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 |
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Dr David L Brouillette, DC
N5479 Loraine Dr,
Fredonia, WI 53021-9779
Ph: (262) 692-6748 | Dr David L Brouillette, DC
511 Fredonia Ave,
Fredonia, WI 53021-9406
Ph: (262) 692-6747 |
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