Michael L Breitenfeld, PA-C is a
Family Medicine physician based in Shell L Ake, Wisconsin. Michael L Breitenfeld is licensed to practice in Wisconsin (license number 03-023) and his current practice location is 105 4th Avenue, Shell L Ake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 468-2711.
NPI number for Michael L Breitenfeld is 1568500650 and his current mailing address is 105 4th Avenue, Po Box 336, Shell L Ake, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1568500650.
Physician's Profile
| Full Name | Michael L Breitenfeld |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 105 4th Avenue, Shell L Ake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1568500650
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Michael L Breitenfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568500650 | NPI | - | NPPES |
| 42906200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 03-023 (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. Michael L Breitenfeld 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 |
|---|
Michael L Breitenfeld, PA-C
105 4th Avenue, Po Box 336,
Shell L Ake, WI 54871-0336
Ph: (715) 468-2711 | Michael L Breitenfeld, PA-C
105 4th Avenue,
Shell L Ake, WI 54871-0336
Ph: (715) 468-2711 |
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