Mrs Kelly L Brendel, FNP-BC is a
Nurse Practitioner - Family based in East Troy, Wisconsin. Mrs Kelly L Brendel is licensed to practice in Wisconsin (license number 5946) and her current practice location is
W571 County Road L, East Troy, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(815) 222-1641.
NPI number for Mrs Kelly L Brendel is 1407269236 and her current mailing address is W571 County Road L, East Troy, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407269236.
Provider's Profile
Full Name | Mrs Kelly L Brendel |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | W571 County Road L, East Troy, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407269236
- Provider Enumeration Date: 06/10/2014
- Last Update Date: 01/05/2022
Medical Identifiers
Medical identifiers for Mrs Kelly L Brendel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407269236 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 5946 (Wisconsin) | Primary |
363L00000X | Nurse Practitioner | 19854730 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209-011771 (Illinois) | 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. Mrs Kelly L Brendel 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 |
Mrs Kelly L Brendel, FNP-BC W571 County Road L, East Troy, WI 53120-2408 Ph: (815) 222-1641 | Mrs Kelly L Brendel, FNP-BC W571 County Road L, East Troy, WI 53120-2408 Ph: (815) 222-1641 |
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