Bret D Carroll, PT is a
Physical Therapist based in Owen, Wisconsin. Bret D Carroll is licensed to practice in Wisconsin (license number 4312-024) and his current practice location is
W4266 State Highway 29, Owen, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 229-2172.
NPI number for Bret D Carroll is 1609080258 and his current mailing address is 115 W Butternut St, Abbotsford, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609080258.
Healthcare Provider's Profile
| Full Name | Bret D Carroll |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
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| Location | W4266 State Highway 29, Owen, Wisconsin |
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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: 1609080258
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Bret D Carroll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609080258 | NPI | - | NPPES |
| 40199400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | 4312-024 (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. Bret D Carroll 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 |
|---|
Bret D Carroll, PT
115 W Butternut St,
Abbotsford, WI 54405-9546
Ph: (715) 223-2959 | Bret D Carroll, PT
W4266 State Highway 29,
Owen, WI 54460-8932
Ph: (715) 229-2172 |
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