Mrs Shelley Sue Brenholt, PT in Brookfield, WI - Medicare Physical Therapist Provider

Mrs Shelley Sue Brenholt, PT is a medicare enrolled "Physical Therapist" provider in Brookfield, Wisconsin. Her current practice location is 17280 W North Ave, # 104, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 780-0707.

Mrs Shelley Sue Brenholt is licensed to practice in Wisconsin (license number 3786 024) 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 1033182233.

Contact Information

	Mrs Shelley Sue Brenholt, PT
	17280 W North Ave, # 104, Brookfield, WI 53045-4366
	(262) 780-0707
	(262) 780-0717

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Shelley Sue Brenholt
Gender	Female
Speciality	Physical Therapist
Location	17280 W North Ave, Brookfield, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033182233
Provider Enumeration Date: 02/08/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4183796519
Enrollment ID: I20080630000697

Medical Identifiers

Medical identifiers for Mrs Shelley Sue Brenholt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033182233	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3786 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. Mrs Shelley Sue Brenholt allows following entities to bill medicare on her behalf.

Provider Name	Aspirus Eagle River Hospital & Clinics, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1346204385 PECOS PAC ID: 1658361951 Enrollment ID: O20040518000233

Provider Name	Aspirus Stevens Point Hospital & Clinics, Inc.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1538112230 PECOS PAC ID: 1850358938 Enrollment ID: O20041210000558

Provider Name	Lessila Physical Therapy Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1811029838 PECOS PAC ID: 1850497736 Enrollment ID: O20120501000664

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 Shelley Sue Brenholt 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
Mrs Shelley Sue Brenholt, PT 17280 W North Ave, # 104, Brookfield, WI 53045-4366 Ph: (262) 780-0707	Mrs Shelley Sue Brenholt, PT 17280 W North Ave, # 104, Brookfield, WI 53045-4366 Ph: (262) 780-0707

Reviews and Comments

Physical Therapist in Brookfield, WI

Kristin M Gehringer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717
Mackenzi Bowman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101
Jamie Wickershiem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17500 W Bluemound Rd, Ste B, Brookfield, WI 53045 Phone: 262-901-2800 Fax: 262-784-2914
Christina Inez Rose Hochla, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 195 Discovery Dr, Brookfield, WI 53045 Phone: 262-513-7500
Mrs. Marcy R Heuer, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19525 W North Avenue, Franciscan Woods, Brookfield, WI 53045 Phone: 262-785-1114 Fax: 262-780-3805
Mrs. Jennifer Anne Werner-clinton, P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 3415 N 127th St, Brookfield, WI 53005 Phone: 262-781-8144

Mrs Shelley Sue Brenholt, PT - Medicare Physical Therapist in Brookfield, WI