Pauline Carol Broge, LPC-IT is a
Counselor - Professional based in Winter, Wisconsin. Pauline Carol Broge is licensed to practice in Wisconsin (license number 5293-226) and her current practice location is
5168 N South Main St, Winter, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 661-4359.
NPI number for Pauline Carol Broge is 1629710272 and her current mailing address is 5168 N South Main St, Winter, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629710272
- Provider Enumeration Date: 04/12/2022
- Last Update Date: 04/12/2022
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
NOT enrolled with medicare and thus cannot 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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