Dr Brandon Allen Dyrdahl, DC in De Pere, WI - Medicare Chiropractor Provider

Dr Brandon Allen Dyrdahl, DC is a medicare enrolled "Chiropractor" provider in De Pere, Wisconsin. His current practice location is 1680 Mid Valley Dr Ste C, De Pere, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 658-5040.

Dr Brandon Allen Dyrdahl is licensed to practice in Wisconsin (license number 5470-12) 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 1437714805.

Contact Information

	Dr Brandon Allen Dyrdahl, DC
	1680 Mid Valley Dr Ste C, De Pere, WI 54115-9517
	(920) 658-5040
	(920) 658-5039

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brandon Allen Dyrdahl
Gender	Male
Speciality	Chiropractor
Location	1680 Mid Valley Dr Ste C, De Pere, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437714805
Provider Enumeration Date: 05/01/2019
Last Update Date: 12/15/2021

Medicare PECOS Information:

PECOS PAC ID: 7315279809
Enrollment ID: I20191104000008

Medical Identifiers

Medical identifiers for Dr Brandon Allen Dyrdahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437714805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	5470-12 (Wisconsin)	Primary

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. Dr Brandon Allen Dyrdahl allows following entities to bill medicare on his behalf.

Provider Name	Integrity Health And Wellness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1790444941 PECOS PAC ID: 4789077124 Enrollment ID: O20220208002165

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. Dr Brandon Allen Dyrdahl 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
Dr Brandon Allen Dyrdahl, DC 1680 Mid Valley Dr Ste C, De Pere, WI 54115-9517 Ph: (920) 658-5040	Dr Brandon Allen Dyrdahl, DC 1680 Mid Valley Dr Ste C, De Pere, WI 54115-9517 Ph: (920) 658-5040

Reviews and Comments

Chiropractor in De Pere, WI

Brady Spielbauer, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 1702 Scheuring Rd Ste C, De Pere, WI 54115 Phone: 920-227-1331 Fax: 920-632-7870
Dr. Alex Kocken, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 920 Main Ave, Ste B, De Pere, WI 54115 Phone: 920-336-2822 Fax: 920-347-3481
De Pere Chiropractic Center Chiropractor Medicare: Medicare Enrolled Practice Location: 820 George St, De Pere, WI 54115 Phone: 920-336-2921 Fax: 920-336-8229
Tundra Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 1251 Scheuring Rd, De Pere, WI 54115 Phone: 920-336-3353
Spencer L Woodward, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 820 George St, De Pere, WI 54115 Phone: 920-336-2921 Fax: 920-336-8229
Van Drisse Chiropractic Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 502a George St, De Pere, WI 54115 Phone: 920-337-0103 Fax: 920-338-9066
Dr. Karl Huebner, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3108 Mid Valley Dr, De Pere, WI 54115 Phone: 920-515-0990

Dr Brandon Allen Dyrdahl, DC - Medicare Chiropractor in De Pere, WI