Brant Michael Balthazor, MS, PA-C - Medicare Physician Assistant in Sheboygan, WI

Brant Michael Balthazor, MS, PA-C is a medicare enrolled "Physician Assistant" in Sheboygan, Wisconsin. He graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Wisconsin Spine And Pain Sc and his current practice location is 2124 Kohler Memorial Dr, Sheboygan, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (883) 821-7246.

Brant Michael Balthazor is licensed to practice in Wisconsin (license number 4424-023) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1548640774.

Contact Information

Brant Michael Balthazor, MS, PA-C
2124 Kohler Memorial Dr,
Sheboygan, WI 53081-3169
(883) 821-7246
Not Available

Map and Direction




Provider's Profile

Full NameBrant Michael Balthazor
GenderMale
SpecialityPhysician Assistant
Experience9 Years
Location2124 Kohler Memorial Dr, Sheboygan, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brant Michael Balthazor graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1548640774
  • Provider Enumeration Date: 06/03/2015
  • Last Update Date: 01/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496063208
  • Enrollment ID: I20200701001722

Medical Identifiers

Medical identifiers for Brant Michael Balthazor such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548640774NPI-NPPES
100100767MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085005469 (Illinois)Secondary
363A00000XPhysician Assistant 4424-023 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Nicholas HospitalSheboygan, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wisconsin Spine And Pain Sc034566546912

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. Brant Michael Balthazor 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 AddressPractice Location Address
Brant Michael Balthazor, MS, PA-C
3624 County Road I,
Saukville, WI 53080-1446

Ph: (734) 945-3484
Brant Michael Balthazor, MS, PA-C
2124 Kohler Memorial Dr,
Sheboygan, WI 53081-3169

Ph: (883) 821-7246

Reviews and Comments


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Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081
Phone: 920-457-4461    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.