Carolyn Elizabeth Bettag, is a
Physician Assistant based in Freedom, Wisconsin. Carolyn Elizabeth Bettag is licensed to practice in * (Not Available) (license number 1243612) and her current practice location is
W3440 Equestrian Trl, Freedom, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 915-9564.
NPI number for Carolyn Elizabeth Bettag is 1821941931 and her current mailing address is W3440 Equestrian Trl, Freedom, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1821941931.
Provider's Profile
| Full Name | Carolyn Elizabeth Bettag |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
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| Location | W3440 Equestrian Trl, Freedom, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1821941931
- Provider Enumeration Date: 02/18/2026
- Last Update Date: 02/18/2026
Medical Identifiers
Medical identifiers for Carolyn Elizabeth Bettag such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821941931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 1243612 (* (Not Available)) | 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. Carolyn Elizabeth Bettag 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 |
Carolyn Elizabeth Bettag, W3440 Equestrian Trl, Freedom, WI 54913-9104 Ph: (920) 915-9564 | Carolyn Elizabeth Bettag, W3440 Equestrian Trl, Freedom, WI 54913-9104 Ph: (920) 915-9564 |
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