Dr. David L. Brouillette, D.c., S.c. is a medicare enrolled "Chiropractor" provider in Fredonia, Wisconsin. Their current practice location is
511 Fredonia Ave, Fredonia, Wisconsin. You can reach out to their office (for appointments etc.) via phone at
(262) 692-6747.
Dr. David L. Brouillette, D.c., S.c. is licensed to practice in Wisconsin (license number 2907) and it also participates in the medicare program. Dr. David L. Brouillette, D.c., S.c.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1780735894.
Healthcare Provider's Profile
Full Name | Dr. David L. Brouillette, D.c., S.c. |
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Type | Facility |
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Speciality | Chiropractor |
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Location | 511 Fredonia Ave, Fredonia, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780735894
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 08/22/2020
Medicare PECOS Information:
- PECOS PAC ID: 6103912712
- Enrollment ID: O20071012000125
Medical Identifiers
Medical identifiers for Dr. David L. Brouillette, D.c., S.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1780735894 | NPI | - | NPPES |
1245234772 | Other | WI | NPI # TYPE 1 |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
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.
Dr. David L. Brouillette, D.c., S.c. acts as a billing entity for following providers:
Provider Name | David Lawrence Brouillette |
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Provider Type | Practitioner - Chiropractic |
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Provider Identifiers | NPI Number: 1245234772 PECOS PAC ID: 7416043013 Enrollment ID: I20071012000086 |
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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, D.c., S.c. 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 |
Dr. David L. Brouillette, D.c., S.c. 511 Fredonia Ave, Fredonia, WI 53021-9406 Ph: (262) 692-6747 | Dr. David L. Brouillette, D.c., S.c. 511 Fredonia Ave, Fredonia, WI 53021-9406 Ph: (262) 692-6747 |
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