Tammy Breault, in Saint Croix Falls, WI - Medicare Counselor Provider

Tammy Breault, is a medicare enrolled "Counselor - Professional" provider in Saint Croix Falls, Wisconsin. Her current practice location is 2367 Beede Lake Trl, Saint Croix Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 553-0159.

Tammy Breault is licensed to practice in Wisconsin (license number 6219-125) 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 1902207012.

Contact Information

	Tammy Breault,
	2367 Beede Lake Trl, Saint Croix Falls, WI 54024-7931
	(715) 553-0159
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tammy Breault
Gender	Female
Speciality	Counselor - Professional
Location	2367 Beede Lake Trl, Saint Croix Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902207012
Provider Enumeration Date: 09/08/2014
Last Update Date: 10/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4981125929
Enrollment ID: I20250306003356

Medical Identifiers

Medical identifiers for Tammy Breault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902207012	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6219-125 (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. Tammy Breault allows following entities to bill medicare on her behalf.

Entity Name	Mental Health Specialty Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240729000310

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. Tammy Breault 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
Tammy Breault, 2367 Beede Lake Trl, Saint Croix Falls, WI 54024-7931 Ph: (715) 553-0159	Tammy Breault, 2367 Beede Lake Trl, Saint Croix Falls, WI 54024-7931 Ph: (715) 553-0159

Reviews and Comments

Counselor in Saint Croix Falls, WI

Marcelle N Dodge, LCSW, CSAC Counselor Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Melanie Lynn Creger, MA, LPC, CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Stephanie A Wilson, MS,CSW, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 520 S Washington St, Suite 110, Saint Croix Falls, WI 54024 Phone: 715-246-4840 Fax: 715-246-4108
Abigail Kathleen Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Washington St, Saint Croix Falls, WI 54024 Phone: 716-961-1055
Kristie Lervick, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 St Croix Lofts Dr, 101, Saint Croix Falls, WI 54024 Phone: 952-836-5473
Penny Lynn Bearheart, LPC, SAC Counselor Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507

Tammy Breault, - Medicare Counselor in Saint Croix Falls, WI