Eugene F Braaksma, PHD is a medicare enrolled "Psychologist - Clinical" provider in Milwaukee, Wisconsin. His current practice location is
930 W Historic Mitchell St, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 383-9526.
Eugene F Braaksma is licensed to practice in Wisconsin (license number 1236) 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 1669656245.
Healthcare Provider's Profile
Full Name | Eugene F Braaksma |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 930 W Historic Mitchell St, Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669656245
- Provider Enumeration Date: 12/19/2007
- Last Update Date: 03/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 7214829597
- Enrollment ID: I20040330000322
Medical Identifiers
Medical identifiers for Eugene F Braaksma such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669656245 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 1236-057 (Wisconsin) | Secondary |
103TC0700X | Psychologist - Clinical | 1236 (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. Eugene F Braaksma allows following entities to bill medicare on his behalf.
Entity Name | County Of Waukesha Department Of Finance |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740403146 PECOS PAC ID: 3971405481 Enrollment ID: O20040124000130 |
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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. Eugene F Braaksma 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 |
Eugene F Braaksma, PHD 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 Ph: (414) 383-9526 | Eugene F Braaksma, PHD 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 Ph: (414) 383-9526 |
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