| Louis Conrad Brenner, PA-C | |
|
6 13th Ave E, Polson, MT 59860-5315 | |
| (406) 883-5680 | |
| Not Available |
| Full Name | Louis Conrad Brenner |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 13 Years |
| Location | 6 13th Ave E, Polson, Montana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609205905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 28189 (Montana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Providence St Joseph Medical Center | Polson, MT | Hospital |
| Billings Clinic Hospital | Billings, MT | Hospital |
| Polson Health & Rehabilitation Center | Polson, MT | Nursing home |
| Hot Springs Health & Rehabilitation Center | Hot springs, MT | Nursing home |
| Aspen Meadows Health And Rehabilitation Center | Billings, MT | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Billings Clinic | 6002993516 | 814 |
| Providence St Joseph Medical Center | 0446230247 | 52 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669655528 PECOS PAC ID: 0446230247 Enrollment ID: O20040910001134 |
| Entity Name | Providence St Joseph Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1821184888 PECOS PAC ID: 0446230247 Enrollment ID: O20061104000680 |
| Entity Name | Billings Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326104845 PECOS PAC ID: 6002993516 Enrollment ID: O20080430000212 |
| Mailing Address | Practice Location Address |
|---|---|
| Louis Conrad Brenner, PA-C 6 13th Ave E, Polson, MT 59860-5315 Ph: Not Available | Louis Conrad Brenner, PA-C 6 13th Ave E, Polson, MT 59860-5315 Ph: (406) 883-5680 |
Joshua Russell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860 Phone: 406-883-3200 Fax: 406-883-9483 |
Angela Lemire, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 |
Timothy W. Thornton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8910 |
Taylor M Lies, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 106 Ridgewater Dr Ste A, Polson, MT 59860 Phone: 406-883-3200 Fax: 406-883-9483 |
Tanner Ryan Staley, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 104 Rufus Ln, Polson, MT 59860 Phone: 406-883-2555 Fax: 406-883-2559 |
Jedidiah Allen Petersen, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6 13th Ave E, Polson, MT 59860 Phone: 406-883-5680 Fax: 406-883-8960 |
Amy M. Johnson, FNP Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: #5 4th Ave. E., Polson, MT 59860 Phone: 406-745-3525 Fax: 406-745-3529 |