Leslie Pranger, PA-C is a medicare enrolled "Physician Assistant" in Chilton, Wisconsin. Her current practice location is
614 Memorial Dr, Chilton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 849-2386.
Leslie Pranger is licensed to practice in Wisconsin (license number 4345) 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 1831639335.
Provider's Profile
Full Name | Leslie Pranger |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 614 Memorial Dr, Chilton, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1831639335
- Provider Enumeration Date: 03/02/2017
- Last Update Date: 12/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 2860778297
- Enrollment ID: I20170419000281
Medical Identifiers
Medical identifiers for Leslie Pranger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831639335 | NPI | - | NPPES |
100078218 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 4345 (Wisconsin) | Primary |
363A00000X | Physician Assistant | 5601008144 (Michigan) | Secondary |
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. Leslie Pranger 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 |
Leslie Pranger, PA-C 614 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-2386 | Leslie Pranger, PA-C 614 Memorial Dr, Chilton, WI 53014-1568 Ph: (920) 849-2386 |
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