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Active NPI 1669891164 Individual Practitioner Female Practitioner

Bridget Bodenbach , PA-C

Physician Assistant • Franklin, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Bridget Bodenbach, PA-C is a certified Physician Assistant practicing in Franklin, WI. With approximately 13 years of clinical experience since completing medical education in 2013, Bridget Bodenbach delivers high-quality medical care to the local community at 9200 W LOOMIS RD.

Bridget Bodenbach is affiliated with Lakeshore Medical Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9200 W Loomis Rd

Franklin, WI 531328887

Telephone 4145299232
Fax 4145299292
Associated Practice Facility / Clinic
🏢 Surgi Plus Clinic Sc Facility NPI 1831121698

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Franklin, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -3.1 yrs vs City Avg
City Avg: 16.1 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
23 Specialists

Practicing in Franklin, WI (3517 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Bodenbach (13 Years) 13 Yrs
Franklin Specialty Average (16.1 Years) 16.1 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
30 30 $350.00 $72.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
14 11 $515.00 $102.44

Medical Specialties & State Licenses

CMS Verified: 2021-11-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3263-23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41920100 (WI)

Hospital & Practice Group Affiliations

Lakeshore Medical Clinic Llc

2000 E Layton Ave, Saint Francis, WI 532356053

Phone: 4147446589

Lakeshore Medical Clinic Llc

200 E Ryan Rd, Oak Creek, WI 531544563

Phone: 4145703590

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1245539915

Doctor of Medicine (M.D.)

NPI 1528446713

Doctor of Podiatric Medicine

Dr. Michelle Won , DO

Family Medicine

NPI 1528709839

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location January 31, 2018

Registered at 9200 W LOOMIS RD, FRANKLIN, WI 531328887 (Tel: 4145299232)

📍
Updated Business Mailing Address January 31, 2018

Registered at 9200 W LOOMIS RD, FRANKLIN, WI 531328887 (Tel: 4145299232)

👤
Provider Name / Credentials Updated January 31, 2018

Recorded as BRIDGET BODENBACH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2018

Physician Assistant (License #3263-23 in WI)

NPI Profile Active July 22, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2015

Registered at 6308 8TH AVE, KENOSHA, WI 531435031 (Tel: 2626563838)

📍
Updated Business Mailing Address July 22, 2015

Registered at 6308 8TH AVE, KENOSHA, WI 531435031 (Tel: 2626563838)

👤
Provider Name / Credentials Updated July 22, 2015

Recorded as BRIDGET TIERNEY, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2015

Physician Assistant (License #3263-23 in WI)

🟢
Initial NPI Registration & Enumeration April 11, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669891164
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2014
Last Update: November 23, 2021
Sole Proprietor: No

Mailing Address

9200 W Loomis Rd

Franklin, WI 531328887

Phone: 4145299232

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.