Brieanna M Haroldson, PA-C is a medicare enrolled "Physician Assistant" in Little Chute, Wisconsin. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc and her current practice location is
200 Patriot Dr, Little Chute, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 687-2800.
Brieanna M Haroldson is licensed to practice in Wisconsin (license number 2364) 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 1750520383.
Provider's Profile
| Full Name | Brieanna M Haroldson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 200 Patriot Dr, Little Chute, 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:
- Brieanna M Haroldson graduated from nursing school in 2008
NPI Data:
- NPI Number: 1750520383
- Provider Enumeration Date: 02/04/2009
- Last Update Date: 11/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 5395801641
- Enrollment ID: I20090311000526
Medical Identifiers
Medical identifiers for Brieanna M Haroldson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750520383 | NPI | - | NPPES |
| 1750520383 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2364 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ascension Medical Group-fox Valley Wisconsin Inc | 0244142420 | 240 |
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. Brieanna M Haroldson 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 |
|---|
Brieanna M Haroldson, PA-C
200 Patriot Dr,
Little Chute, WI 54140-1184
Ph: (920) 687-2800 | Brieanna M Haroldson, PA-C
200 Patriot Dr,
Little Chute, WI 54140-1184
Ph: (920) 687-2800 |
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