Pauline Carol Broge, LPC-IT is a medicare enrolled "Counselor - Professional" provider in Winter, Wisconsin. Her current practice location is
5168 N South Main St, Winter, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 661-4359.
Pauline Carol Broge is licensed to practice in Wisconsin (license number 5293-226) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629710272.
Healthcare Provider's Profile
Full Name | Pauline Carol Broge |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 5168 N South Main St, Winter, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1629710272
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 04/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 8426582537
- Enrollment ID: I20241112004224
Medical Identifiers
Medical identifiers for Pauline Carol Broge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629710272 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 5293-226 (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. Pauline Carol Broge 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 |
Pauline Carol Broge, LPC-IT 5168 N South Main St, Winter, WI 54896-7736 Ph: (715) 661-4359 | Pauline Carol Broge, LPC-IT 5168 N South Main St, Winter, WI 54896-7736 Ph: (715) 661-4359 |
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