Prerna Brisky, is a
Physical Therapist based in Gordon, Wisconsin. Prerna Brisky is licensed to practice in Wisconsin (license number 12930) and her current practice location is
14624 S Whitefish Lake Rd, Gordon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(954) 816-4150.
NPI number for Prerna Brisky is 1679971899 and her current mailing address is 14624 S Whitefish Lake Rd, Gordon, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679971899.
Healthcare Provider's Profile
| Full Name | Prerna Brisky |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 14624 S Whitefish Lake Rd, Gordon, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679971899
- Provider Enumeration Date: 12/22/2014
- Last Update Date: 12/06/2018
Medical Identifiers
Medical identifiers for Prerna Brisky such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1679971899 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 1247587 (Texas) | Secondary |
| 225100000X | Physical Therapist | 12930 (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. Prerna Brisky 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 |
Prerna Brisky, 14624 S Whitefish Lake Rd, Gordon, WI 54838-9363 Ph: (715) 816-4150 | Prerna Brisky, 14624 S Whitefish Lake Rd, Gordon, WI 54838-9363 Ph: (954) 816-4150 |
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