Mr Bradley Allen Kothlow, DC is a medicare enrolled "Chiropractor" provider in Balsam Lake, Wisconsin. He went to Northwestern College Of Chiropractic and graduated in 1985 and has 39 years of diverse experience with area of expertise as Chiropractic. His current practice location is
314 Main St, Balsam Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 485-3575.
Mr Bradley Allen Kothlow is licensed to practice in Wisconsin (license number 2016012) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1447335609.
Healthcare Provider's Profile
| Full Name | Mr Bradley Allen Kothlow |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 39 Years |
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| Location | 314 Main St, Balsam Lake, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Bradley Allen Kothlow attended and graduated from Northwestern College Of Chiropractic in 1985
NPI Data:
- NPI Number: 1447335609
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1951580109
- Enrollment ID: I20110120000633
Medical Identifiers
Medical identifiers for Mr Bradley Allen Kothlow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447335609 | NPI | - | NPPES |
| 38789500 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 2016012 (Wisconsin) | Primary |
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. Mr Bradley Allen Kothlow 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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Mr Bradley Allen Kothlow, DC
138 Pleasant Ave,
Balsam Lake, WI 54810-9019
Ph: (715) 485-9352 | Mr Bradley Allen Kothlow, DC
314 Main St,
Balsam Lake, WI 54810-7262
Ph: (715) 485-3575 |
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