Breanna Brennecke, in Madison, WI - Medicare Speech-Language Pathologist Provider

Breanna Brennecke, is a medicare enrolled "Speech-language Pathologist" provider in Madison, Wisconsin. Her current practice location is 1821 S Stoughton Rd, Madison, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 260-6000.

Breanna Brennecke is licensed to practice in Wisconsin (license number 5152-154) 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 1548866056.

Contact Information

	Breanna Brennecke,
	1821 S Stoughton Rd, Madison, WI 53716-2257
	(608) 260-6000
	(608) 260-6906

Map and Direction

Healthcare Provider's Profile

Full Name	Breanna Brennecke
Gender	Female
Speciality	Speech-language Pathologist
Location	1821 S Stoughton Rd, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548866056
Provider Enumeration Date: 12/09/2020
Last Update Date: 01/26/2022

Medicare PECOS Information:

PECOS PAC ID: 5597157248
Enrollment ID: I20220110001328

Medical Identifiers

Medical identifiers for Breanna Brennecke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548866056	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	5152-154 (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. Breanna Brennecke allows following entities to bill medicare on her behalf.

Provider Name	Dean Health Systems Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584

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. Breanna Brennecke 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
Breanna Brennecke, 818 N Star Dr Apt 315, Madison, WI 53718-3011 Ph: (715) 219-1211	Breanna Brennecke, 1821 S Stoughton Rd, Madison, WI 53716-2257 Ph: (608) 260-6000

Reviews and Comments

Speech-Language Pathologist in Madison, WI

Leslie L. Lord, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4502 Milwaukee St, Madison, WI 53714 Phone: 608-249-2137
Anne Teresa Heintzelman, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Compliance Mail Code 2433, Madison, WI 53792 Phone: 608-662-0817
Miss Megan Marie Nell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4325 Nakoma Rd, Madison, WI 53711 Phone: 608-271-7321
Merertu G Kitila, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-6190 Fax: 608-262-7679
Cassandra Reichenbach, MS/CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 6701 Seybold Rd Ste 109, Madison, WI 53719 Phone: 608-571-2661 Fax: 608-535-6229
Amy Baillies, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 600 Highland Ave, Madison, WI 53792 Phone: 608-263-7502
Mrs. Amy M. Kohlstedt, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 202 S Park St, Madison, WI 53715 Phone: 608-417-7574

Breanna Brennecke, - Medicare Speech-Language Pathologist in Madison, WI