Mrs Mandie Lynn Bruyette, SAC, APSW is a
Social Worker based in Milwaukee, Wisconsin. Mrs Mandie Lynn Bruyette is licensed to practice in Wisconsin (license number 132882-121) and her current practice location is
10012 W Capitol Dr, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 810-4844.
NPI number for Mrs Mandie Lynn Bruyette is 1114687407 and her current mailing address is 19407 Rock Pointe Way Unit 201, Lannon, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114687407.
Healthcare Provider's Profile
Full Name | Mrs Mandie Lynn Bruyette |
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Gender | Female |
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Speciality | Social Worker |
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Location | 10012 W Capitol Dr, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114687407
- Provider Enumeration Date: 12/28/2021
- Last Update Date: 10/03/2023
Medical Identifiers
Medical identifiers for Mrs Mandie Lynn Bruyette such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114687407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16622-131 (Wisconsin) | Secondary |
104100000X | Social Worker | 132882-121 (Wisconsin) | Primary |
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 Mandie Lynn Bruyette 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 Mandie Lynn Bruyette, SAC, APSW 19407 Rock Pointe Way Unit 201, Lannon, WI 53046-2700 Ph: (715) 773-2916 | Mrs Mandie Lynn Bruyette, SAC, APSW 10012 W Capitol Dr, Milwaukee, WI 53222-1338 Ph: (414) 810-4844 |
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