Makayla Bretschneider, MD
Individual provider Active NPI Family Medicine Physician · Canby, MN
NPI 1679212401 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1679212401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 77331 (MN)
- Practice address
- 112 Saint Olaf Ave S
Canby, MN 56220-1433 - Phone
- (507) 223-7277
- NPI assigned
- May 31, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of North Dakota School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Sanford Medical Center
Practice addresses (Care Compare)
112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277
4405 E 26TH St
Sioux Falls, SD 57103-4187
Phone (605) 332-2883
901 4TH St NW
Watertown, SD 57201-1558
Phone (605) 886-8471
Hospital & facility affiliations
- Prairie Lakes Healthcare System, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MN, SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240926001847 | MN | Practitioner - Family Practice | 1052852324 | Reassigns benefits to 2 organizations |
| I20250731001821 | SD | Practitioner - Family Practice | 1052852324 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77331 | MN | MD | Family Medicine Physician |
| 18554 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center | Family Medicine | Current |
Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Medical Center | Family Medicine | Current |
Accepting new patients |
| Sanford Health Network | Current |
Accepting new patients | |
| Sanford Health Network | Family Medicine | Current | Accepting new patients |
Locations
249 5th St E
Tracy, MN 56175
Phone (507) 629-3520
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000
1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18554 | ND | |
| Family Medicine Physician | 207Q00000X | 77331 | MN | Yes |
Addresses
Primary practice location
112 Saint Olaf Ave S
Canby, MN 56220-1433
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Other providers in Canby, MN
- Avera Marshall
- Hector Edwin Aybar
- Efthimios Alexander Bakalakos
- Joshua Bruning
- Canby Chiropractic Center PLLC
- Canby Drug & Gifts Inc
- Canby Drug & Gifts Inc
- Canby Public Schools Isd 891
All providers in Canby, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.