Spencer Reece Brauchla, DC is a medicare enrolled "Chiropractor" provider in Laotto, Indiana. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Chiropractic. He is a member of the group practice Crossroads Wellness Center, Llc and his current practice location is
6265 E 400 S, Laotto, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 318-5285.
Spencer Reece Brauchla is licensed to practice in Indiana (license number 08003146A) 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 1164053773.
Healthcare Provider's Profile
| Full Name | Spencer Reece Brauchla |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 5 Years |
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| Location | 6265 E 400 S, Laotto, Indiana |
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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:
- Spencer Reece Brauchla graduated from medical school in 2019
NPI Data:
- NPI Number: 1164053773
- Provider Enumeration Date: 02/01/2020
- Last Update Date: 02/01/2020
Medicare PECOS Information:
- PECOS PAC ID: 7012323249
- Enrollment ID: I20210312000186
Medical Identifiers
Medical identifiers for Spencer Reece Brauchla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164053773 | NPI | - | NPPES |
| 08003146A | Other | IN | INDIANA STATE CHIROPRACTIC LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 08003146A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Crossroads Wellness Center, Llc | 6406195593 | 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. Spencer Reece Brauchla allows following entities to bill medicare on his behalf.
| Provider Name | Crossroads Wellness Center, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1720506413
PECOS PAC ID: 6406195593
Enrollment ID: O20190307001750 |
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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. Spencer Reece Brauchla 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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Spencer Reece Brauchla, DC
6265 E 400 S,
Laotto, IN 46763-9772
Ph: (260) 318-5285 | Spencer Reece Brauchla, DC
6265 E 400 S,
Laotto, IN 46763-9772
Ph: (260) 318-5285 |
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