Brent D Plackner, PA-C in Bayport, MN - Physician Assistant

Brent D Plackner, PA-C is a Physician Assistant based in Bayport, Minnesota. Brent D Plackner is licensed to practice in Minnesota (license number 11906) and his current practice location is 970 Pickett St N, Bayport, Minnesota. He can be reached at his office (for appointments etc.) via phone at (651) 779-5713.

NPI number for Brent D Plackner is 1487647996 and his current mailing address is 2277 Highway 36 W Ste 140, Roseville, Minnesota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487647996.

Contact Information

	Brent D Plackner, PA-C
	970 Pickett St N, Bayport, MN 55003-1489
	(651) 779-5713
	(651) 747-1621

Provider's Profile

Full Name	Brent D Plackner
Gender	Male
Speciality	Physician Assistant
Location	970 Pickett St N, Bayport, Minnesota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1487647996
Provider Enumeration Date: 08/30/2005
Last Update Date: 01/19/2018

Medical Identifiers

Medical identifiers for Brent D Plackner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487647996	NPI	-	NPPES
004156125	Other	WI	MEDICARE NUMBER
42958400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	865-23 (Wisconsin)	Secondary
363A00000X	Physician Assistant	11906 (Minnesota)	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. Brent D Plackner 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
Brent D Plackner, PA-C 2277 Highway 36 W Ste 140, Roseville, MN 55113-3895 Ph: (612) 255-0628	Brent D Plackner, PA-C 970 Pickett St N, Bayport, MN 55003-1489 Ph: (651) 779-5713

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Brent D Plackner, PA-C - Physician Assistant in Bayport, MN