Mr Jeremy L Bria, DC is a medicare enrolled "Chiropractor" provider in Fontana, Wisconsin. His current practice location is
450 Mill St, Suite 102, Fontana, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 275-5005.
Mr Jeremy L Bria is licensed to practice in Wisconsin (license number 4188-012) 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 1669531885.
Healthcare Provider's Profile
| Full Name | Mr Jeremy L Bria |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 450 Mill St, Fontana, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1669531885
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3577570910
- Enrollment ID: I20060313000038
Medical Identifiers
Medical identifiers for Mr Jeremy L Bria such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669531885 | NPI | - | NPPES |
| 38966200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 4188-012 (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. Mr Jeremy L Bria allows following entities to bill medicare on his behalf.
| Provider Name | Jlb,inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306045315
PECOS PAC ID: 2860409208
Enrollment ID: O20060309000671 |
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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. Mr Jeremy L Bria 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 |
|---|
Mr Jeremy L Bria, DC
450 Mill St, Suite 102,
Fontana, WI 53125-1242
Ph: (262) 275-5005 | Mr Jeremy L Bria, DC
450 Mill St, Suite 102,
Fontana, WI 53125-1242
Ph: (262) 275-5005 |
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