Bridget Bodenbach, PA-C
NPI 1669891164ActiveIndividual· Physician Assistant· Oak Creek, WI
Physician Assistant (PA-C) with Lakeshore Medical Clinic LLC, practicing in Oak Creek, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $8,458 for 135 claims, against $4,055 paid for services in 2024.
Overview
| NPI | 1669891164 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Apr 11, 2014 |
| Last updated in NPPES | Oct 7, 2026 |
| Certified by provider | Oct 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3263-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 54 |
|---|---|
| Services billed | 92 across 27 procedure codes |
| Paid by Medicare | $4,055 |
Part D prescriptions in 2024
| Prescriptions (claims) | 135 · 146 30-day fills |
|---|---|
| Patients | 86 |
| Total drug cost | $8,458 |
| Generic share | 80% of claims |
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lakeshore Medical Clinic LLCSaint Francis, WI · 379 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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