Mrs Susan Ingrid Brueggemann, PHYSICIAN ASSISTANT is a
Physician Assistant based in Madison, Wisconsin. Mrs Susan Ingrid Brueggemann is licensed to practice in Wisconsin (license number 4157) and her current practice location is
2500 Overlook Ter, Madison, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 280-7003.
NPI number for Mrs Susan Ingrid Brueggemann is 1063722411 and her current mailing address is 415 Nygaard St, Oregon, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063722411.
Healthcare Provider's Profile
Full Name | Mrs Susan Ingrid Brueggemann |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2500 Overlook Ter, Madison, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063722411
- Provider Enumeration Date: 10/19/2010
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Mrs Susan Ingrid Brueggemann such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063722411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1842-029 (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 4157 (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. Mrs Susan Ingrid Brueggemann 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 |
Mrs Susan Ingrid Brueggemann, PHYSICIAN ASSISTANT 415 Nygaard St, Oregon, WI 53575-1413 Ph: (608) 445-8606 | Mrs Susan Ingrid Brueggemann, PHYSICIAN ASSISTANT 2500 Overlook Ter, Madison, WI 53705-2254 Ph: (608) 280-7003 |
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