Donna M Brengman, MSW, LICSW in Baxter, MN - Medicare Social Worker Provider

Donna M Brengman, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Baxter, Minnesota. Her current practice location is 13045 Falcon Dr Ste 100, Baxter, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 829-9307.

Donna M Brengman is licensed to practice in Minnesota (license number 14744) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1306010053.

Contact Information

	Donna M Brengman, MSW, LICSW
	13045 Falcon Dr Ste 100, Baxter, MN 56425-4201
	(218) 829-9307
	(218) 829-7649

Map and Direction

Healthcare Provider's Profile

Full Name	Donna M Brengman
Gender	Female
Speciality	Social Worker - Clinical
Location	13045 Falcon Dr Ste 100, Baxter, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306010053
Provider Enumeration Date: 04/14/2008
Last Update Date: 03/12/2019

Medicare PECOS Information:

PECOS PAC ID: 9032450499
Enrollment ID: I20190411002085

Medical Identifiers

Medical identifiers for Donna M Brengman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306010053	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	14744 (Minnesota)	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. Donna M Brengman allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

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. Donna M Brengman 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
Donna M Brengman, MSW, LICSW 1900 Silver Lake Rd Nw, New Brighton, MN 55112-1786 Ph: (651) 628-9566	Donna M Brengman, MSW, LICSW 13045 Falcon Dr Ste 100, Baxter, MN 56425-4201 Ph: (218) 829-9307

Reviews and Comments

Social Worker in Baxter, MN

Katherine Rose Haberkorn, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 218-829-9307 Fax: 218-829-7649
Kelby Olson-rodel, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13045 Falcon Dr Ste 100, Baxter, MN 56425 Phone: 320-219-9228
Linda Marie Bowman, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13397 Shadow Wood Drive, Baxter, MN 56425 Phone: 218-251-3780
Julie Ann Johnson, MS, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7251 Excelsior Rd, Baxter, MN 56425 Phone: 218-454-0878 Fax: 218-454-0879
Amber Endres, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12149 Knollwood Dr, Baxter, MN 56425 Phone: 218-454-6093
Lily S Wagner, MSW, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7251 Excelsior Rd, Baxter, MN 56425 Phone: 218-454-0878

Donna M Brengman, MSW, LICSW - Medicare Clinical Social Worker in Baxter, MN