Breanna Riesgraf, NP is a medicare enrolled "Nurse Practitioner - Family" in Marathon, Wisconsin. Her current practice location is
670 Community Cir, Marathon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 443-6767.
Breanna Riesgraf is licensed to practice in Wisconsin (license number 9339-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1699321463.
Provider's Profile
| Full Name | Breanna Riesgraf |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 670 Community Cir, Marathon, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699321463
- Provider Enumeration Date: 08/16/2019
- Last Update Date: 08/16/2019
Medicare PECOS Information:
- PECOS PAC ID: 8729319660
- Enrollment ID: I20191008002188
Medical Identifiers
Medical identifiers for Breanna Riesgraf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699321463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 9339-33 (Wisconsin) | Primary |
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. Breanna Riesgraf allows following entities to bill medicare on her behalf.
| Entity Name | Aspirus Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669595294
PECOS PAC ID: 1052223625
Enrollment ID: O20031103000267 |
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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. Breanna Riesgraf 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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Breanna Riesgraf, NP
670 Community Cir,
Marathon, WI 54448-9003
Ph: () - | Breanna Riesgraf, NP
670 Community Cir,
Marathon, WI 54448-9003
Ph: (715) 443-6767 |
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