Brandon Koxlien, DC is a medicare enrolled "Chiropractor" provider in Blair, Wisconsin. He went to Palmer College Chiropractic - Davenport and graduated in 2014 and has 11 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Black River Chiropractic Clinic Sc and his current practice location is
322 W 1st St, Blair, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 386-9441.
Brandon Koxlien is licensed to practice in Wisconsin (license number 5053-12) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1366849515.
Healthcare Provider's Profile
| Full Name | Brandon Koxlien |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 11 Years |
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| Location | 322 W 1st St, Blair, Wisconsin |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandon Koxlien attended and graduated from Palmer College Chiropractic - Davenport in 2014
NPI Data:
- NPI Number: 1366849515
- Provider Enumeration Date: 12/02/2014
- Last Update Date: 12/02/2014
Medicare PECOS Information:
- PECOS PAC ID: 5092030734
- Enrollment ID: I20150220001544
Medical Identifiers
Medical identifiers for Brandon Koxlien such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1366849515 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 5053-12 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Black River Chiropractic Clinic Sc | 6709884679 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Brandon Koxlien allows following entities to bill medicare on his behalf.
| Provider Name | Black River Chiropractic Clinic Sc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1689747826
PECOS PAC ID: 6709884679
Enrollment ID: O20061201000436 |
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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. Brandon Koxlien 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 |
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Brandon Koxlien, DC
322 W 1st St,
Blair, WI 54616-8927
Ph: () - | Brandon Koxlien, DC
322 W 1st St,
Blair, WI 54616-8927
Ph: (608) 386-9441 |
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