Kristin Marie Humpal, PA-C in Grafton, WI - Medicare Physician Assistant

Kristin Marie Humpal, PA-C is a medicare enrolled "Physician Assistant" in Grafton, Wisconsin. Her current practice location is 975 Port Washington Rd, Grafton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 329-1000.

Kristin Marie Humpal is licensed to practice in Wisconsin (license number 2307-23) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558524868.

Contact Information

	Kristin Marie Humpal, PA-C
	975 Port Washington Rd, Grafton, WI 53024-9204
	(262) 329-1000
	Not Available

Provider's Profile

Full Name	Kristin Marie Humpal
Gender	Female
Speciality	Physician Assistant
Location	975 Port Washington Rd, Grafton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558524868
Provider Enumeration Date: 07/07/2008
Last Update Date: 11/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7113089418
Enrollment ID: I20081220000095

Medical Identifiers

Medical identifiers for Kristin Marie Humpal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558524868	NPI	-	NPPES
100001348	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	2307-23 (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. Kristin Marie Humpal 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
Kristin Marie Humpal, PA-C Po Box 735044, Chicago, IL 60673-5044 Ph: () -	Kristin Marie Humpal, PA-C 975 Port Washington Rd, Grafton, WI 53024-9204 Ph: (262) 329-1000

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Physician Assistant Nurses in Grafton, WI

Mr. Matthew David Poli, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Madeline M Mayer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Matthew R Ollmann, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Jessica Krupinski, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700
Joseph C Darin Ii, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 215 Washington St, Grafton, WI 53024 Phone: 262-375-3700 Fax: 262-376-6032
Kelsey Beaupre, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000
Alex K Koch, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 975 Port Washington Rd, Grafton, WI 53024 Phone: 262-329-1000

Kristin Marie Humpal, PA-C - Medicare Physician Assistant in Grafton, WI