Marie L Brekken, PA-C is a medicare enrolled "Physician Assistant" physician in Fargo, North Dakota. Her current practice location is
1720 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 280-4375.
Marie L Brekken is licensed to practice in North Dakota (license number PAC0143) 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 1023035029.
Physician's Profile
| Full Name | Marie L Brekken |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1720 University Dr S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023035029
- Provider Enumeration Date: 07/16/2006
- Last Update Date: 09/27/2018
Medicare PECOS Information:
- PECOS PAC ID: 3971797002
- Enrollment ID: I20101102000782
Medical Identifiers
Medical identifiers for Marie L Brekken such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023035029 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | PAC0143 (North Dakota) | Secondary |
| 363A00000X | Physician Assistant | PAC0143 (North Dakota) | 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. Marie L Brekken 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 |
Marie L Brekken, PA-C 1720 University Dr S, Fargo, ND 58103-4940 Ph: (701) 280-4375 | Marie L Brekken, PA-C 1720 University Dr S, Fargo, ND 58103-4940 Ph: (701) 280-4375 |
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