Ms Allycia E Bretl, LCSW, SAC-IT is a medicare enrolled "Social Worker - Clinical" provider in Algoma, Wisconsin. She went to University Of Maryland School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Door County Memorial Hospital and her current practice location is
815 Jefferson St, Algoma, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 487-3496.
Ms Allycia E Bretl is licensed to practice in Wisconsin (license number 9221) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871106492.
Healthcare Provider's Profile
Full Name | Ms Allycia E Bretl |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 8 Years |
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Location | 815 Jefferson St, Algoma, Wisconsin |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Allycia E Bretl attended and graduated from University Of Maryland School Of Medicine in 2016
NPI Data:
- NPI Number: 1871106492
- Provider Enumeration Date: 08/24/2020
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426478892
- Enrollment ID: I20201023002040
Medical Identifiers
Medical identifiers for Ms Allycia E Bretl such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871106492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 9221 (Wisconsin) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Door County Memorial Hospital | 5395735088 | 67 |
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. Ms Allycia E Bretl allows following entities to bill medicare on her behalf.
Entity Name | Door County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093743874 PECOS PAC ID: 5395735088 Enrollment ID: O20040514000588 |
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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. Ms Allycia E Bretl 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 |
Ms Allycia E Bretl, LCSW, SAC-IT 323 S 18th Ave, Sturgeon Bay, WI 54235-1401 Ph: (920) 743-5566 | Ms Allycia E Bretl, LCSW, SAC-IT 815 Jefferson St, Algoma, WI 54201-1733 Ph: (920) 487-3496 |
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