Breanna M Vretenar, is a
Physical Therapy Assistant based in Wauwatosa, Wisconsin. Breanna M Vretenar is licensed to practice in Wisconsin (license number 2676-19) and her current practice location is
4523 N 107th St, Wauwatosa, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 342-1675.
NPI number for Breanna M Vretenar is 1043983059 and her current mailing address is 12430 W Euclid Ave Apt 3, New Berlin, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043983059.
Healthcare Provider's Profile
| Full Name | Breanna M Vretenar |
|---|
| Gender | Female |
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| Speciality | Physical Therapy Assistant |
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| Location | 4523 N 107th St, Wauwatosa, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1043983059
- Provider Enumeration Date: 07/26/2021
- Last Update Date: 09/16/2022
Medical Identifiers
Medical identifiers for Breanna M Vretenar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1043983059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 13256-146 (Wisconsin) | Secondary |
| 225200000X | Physical Therapy Assistant | 2676-19 (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. Breanna M Vretenar 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 |
|---|
Breanna M Vretenar,
12430 W Euclid Ave Apt 3,
New Berlin, WI 53151-4662
Ph: (920) 342-1675 | Breanna M Vretenar,
4523 N 107th St,
Wauwatosa, WI 53225-4526
Ph: (920) 342-1675 |
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