Kimberly Breidenbach, MD is a medicare enrolled "Family Medicine" physician in Whitehall, Wisconsin. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Tri-county Memorial Hospital Inc and her current practice location is
18606 Ervin St, Whitehall, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 538-4355.
Kimberly Breidenbach is licensed to practice in Wisconsin (license number 62657) 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 1972893071.
Physician's Profile
| Full Name | Kimberly Breidenbach |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 10 Years |
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| Location | 18606 Ervin St, Whitehall, 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. |
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Medical Education and Training:
- Kimberly Breidenbach graduated from medical school in 2014
NPI Data:
- NPI Number: 1972893071
- Provider Enumeration Date: 04/11/2011
- Last Update Date: 02/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 9234451832
- Enrollment ID: I20141210001655
Medical Identifiers
Medical identifiers for Kimberly Breidenbach such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972893071 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 62657 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Tri-county Memorial Hospital Inc | 4587642418 | 55 |
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. Kimberly Breidenbach allows following entities to bill medicare on her behalf.
| Entity Name | Tri-county Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124063573
PECOS PAC ID: 4587642418
Enrollment ID: O20040708000696 |
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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. Kimberly Breidenbach 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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Kimberly Breidenbach, MD
1836 South Ave,
La Crosse, WI 54601-5429
Ph: (608) 782-7300 | Kimberly Breidenbach, MD
18606 Ervin St,
Whitehall, WI 54773-8613
Ph: (715) 538-4355 |
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