Jeffrey Gerard Brenner, PA-C is a
Physician Assistant - Medical based in Springport, Michigan. Jeffrey Gerard Brenner is licensed to practice in Michigan (license number 5601001774) and his current practice location is
400 E Main St, Ste 200, Springport, Michigan. He can be reached at his office (for appointments etc.) via phone at
(517) 857-4500.
NPI number for Jeffrey Gerard Brenner is 1295863314 and his current mailing address is 400 E Main St, Ste 200, Springport, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295863314.
Provider's Profile
| Full Name | Jeffrey Gerard Brenner |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 400 E Main St, Springport, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295863314
- Provider Enumeration Date: 03/01/2007
- Last Update Date: 03/07/2023
Medical Identifiers
Medical identifiers for Jeffrey Gerard Brenner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295863314 | NPI | - | NPPES |
| 5601001774 | Other | MI | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 5601001774 (Michigan) | 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. Jeffrey Gerard Brenner 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 |
|---|
Jeffrey Gerard Brenner, PA-C
400 E Main St, Ste 200,
Springport, MI 49284-9774
Ph: (517) 857-4500 | Jeffrey Gerard Brenner, PA-C
400 E Main St, Ste 200,
Springport, MI 49284-9774
Ph: (517) 857-4500 |
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