Miguel Angel Barraza Chavez, is a medicare enrolled "Physician Assistant" in Wautoma, Wisconsin. His current practice location is
400 S Townline Rd, Wautoma, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 787-5514.
Miguel Angel Barraza Chavez is licensed to practice in Wisconsin (license number 751223) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932832706.
Provider's Profile
| Full Name | Miguel Angel Barraza Chavez |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 400 S Townline Rd, Wautoma, Wisconsin |
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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: 1932832706
- Provider Enumeration Date: 07/07/2022
- Last Update Date: 01/05/2026
Medicare PECOS Information:
- PECOS PAC ID: 4789031899
- Enrollment ID: I20231111000029
Medical Identifiers
Medical identifiers for Miguel Angel Barraza Chavez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932832706 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 751223 (Wisconsin) | 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. Miguel Angel Barraza Chavez 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 |
Miguel Angel Barraza Chavez, 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 256-3000 | Miguel Angel Barraza Chavez, 400 S Townline Rd, Wautoma, WI 54982-6922 Ph: (920) 787-5514 |
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