Bret D Carroll, PT is a medicare enrolled "Physical Therapist" provider in Owen, Wisconsin. His current practice location is
W4266 State Highway 29, Owen, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 229-2172.
Bret D Carroll is licensed to practice in Wisconsin (license number 4312-024) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609080258.
Healthcare Provider's Profile
| Full Name | Bret D Carroll |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | W4266 State Highway 29, Owen, 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: 1609080258
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315097938
- Enrollment ID: I20090602000526
Medical Identifiers
Medical identifiers for Bret D Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609080258 | NPI | - | NPPES |
| 40199400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 4312-024 (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. Bret D Carroll allows following entities to bill medicare on his behalf.
| Provider Name | Marshfield Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590 |
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| Provider Name | Midwest Physical Therapy Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1811015274
PECOS PAC ID: 3375518202
Enrollment ID: O20040901001332 |
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| Provider Name | Mchs Hospitals Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096 |
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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. Bret D Carroll 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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Bret D Carroll, PT
115 W Butternut St,
Abbotsford, WI 54405-9546
Ph: (715) 223-2959 | Bret D Carroll, PT
W4266 State Highway 29,
Owen, WI 54460-8932
Ph: (715) 229-2172 |
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