Mr Brent Michael Buchholz, PA-C in Lisbon, ND - Medicare Physician Assistant

Mr Brent Michael Buchholz, PA-C is a medicare enrolled "Physician Assistant" in Lisbon, North Dakota. His current practice location is 905 Main St, Lisbon, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 683-6400.

Mr Brent Michael Buchholz is licensed to practice in North Dakota (license number PAC0428) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619288305.

Contact Information

	Mr Brent Michael Buchholz, PA-C
	905 Main St, Lisbon, ND 58054-4334
	(701) 683-6400
	(701) 683-4345

Provider's Profile

Full Name	Mr Brent Michael Buchholz
Gender	Male
Speciality	Physician Assistant
Location	905 Main St, Lisbon, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619288305
Provider Enumeration Date: 06/28/2010
Last Update Date: 11/09/2020

Medicare PECOS Information:

PECOS PAC ID: 9032243456
Enrollment ID: I20100819001059

Medical Identifiers

Medical identifiers for Mr Brent Michael Buchholz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619288305	NPI	-	NPPES
1454980	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PAC0428 (North Dakota)	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. Mr Brent Michael Buchholz 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
Mr Brent Michael Buchholz, PA-C 905 Main St, Lisbon, ND 58054-4334 Ph: (701) 683-6400	Mr Brent Michael Buchholz, PA-C 905 Main St, Lisbon, ND 58054-4334 Ph: (701) 683-6400

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Physician Assistant Nurses in Lisbon, ND

Katie L Tanner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094
Bruce D Larson, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 701-683-4134 Fax: 701-683-4094
Sean Core, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 819 Main St, Lisbon, ND 58054 Phone: 017-683-4134
Stacey Maria Walton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 9th Ave E, Lisbon, ND 58054 Phone: 701-683-4711 Fax: 701-683-3205

Mr Brent Michael Buchholz, PA-C - Medicare Physician Assistant in Lisbon, ND