Mr Beau Charles Brendley, PSY D - Medicare Counselor in Philadelphia, PA

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Mr Beau Charles Brendley, PSY D is a medicare enrolled "Psychologist" provider in Philadelphia, Pennsylvania. His current practice location is 255 S 17th St Ste 1010, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (672) 319-5882.

Mr Beau Charles Brendley is licensed to practice in Pennsylvania (license number PS018603) 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 1447537766.

Contact Information

Mr Beau Charles Brendley, PSY D
255 S 17th St Ste 1010,
Philadelphia, PA 19103-6210
(672) 319-5882
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Beau Charles Brendley
GenderMale
SpecialityPsychologist
Location255 S 17th St Ste 1010, Philadelphia, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447537766
  • Provider Enumeration Date: 11/15/2011
  • Last Update Date: 09/25/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 8325460181
  • Enrollment ID: I20200624000861

Medical Identifiers

Medical identifiers for Mr Beau Charles Brendley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447537766NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional PC006129 (Pennsylvania)Secondary
103T00000XPsychologist PS018603 (Pennsylvania)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 Beau Charles Brendley allows following entities to bill medicare on his behalf.
Entity NameSpringfield Psychological Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295705317
PECOS PAC ID: 1456322973
Enrollment ID: O20040805001143

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 Beau Charles Brendley 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 AddressPractice Location Address
Mr Beau Charles Brendley, PSY D
815 S 2nd St,
Philadelphia, PA 19147-3415

Ph: (267) 231-9588		Mr Beau Charles Brendley, PSY D
255 S 17th St Ste 1010,
Philadelphia, PA 19103-6210

Ph: (672) 319-5882

Reviews and Comments


Psychologist in Philadelphia, PA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.