Miguel Angel Barraza Chavez, is a medicare enrolled "Physician Assistant" in Wautoma, Wisconsin. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Thedacare, Incorporated and 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1932832706.
Provider's Profile
| Full Name | Miguel Angel Barraza Chavez |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 3 Years |
|---|
| Location | 400 S Townline Rd, Wautoma, Wisconsin |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Miguel Angel Barraza Chavez graduated from nursing school in 2023
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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Thedacare, Incorporated | 1759294887 | 659 |
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 |
Reviews and Comments