Michael Jude Brandli, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Wells River, Vermont. His current practice location is
65 Main St, Wells River, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 757-2325.
Michael Jude Brandli is licensed to practice in Vermont (license number 068.0134355) 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 1689344459.
Healthcare Provider's Profile
Full Name | Michael Jude Brandli |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 65 Main St, Wells River, Vermont |
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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: 1689344459
- Provider Enumeration Date: 09/14/2021
- Last Update Date: 09/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183062359
- Enrollment ID: I20240406000189
Medical Identifiers
Medical identifiers for Michael Jude Brandli such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689344459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 068.0134355 (Vermont) | 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. Michael Jude Brandli allows following entities to bill medicare on his behalf.
Entity Name | Little Rivers Health Care, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033163555 PECOS PAC ID: 8224031497 Enrollment ID: O20061003000417 |
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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. Michael Jude Brandli 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 |
Michael Jude Brandli, LCMHC Po Box 338, Wells River, VT 05081-0338 Ph: (802) 757-2325 | Michael Jude Brandli, LCMHC 65 Main St, Wells River, VT 05081-3000 Ph: (802) 757-2325 |
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