Brandon Wynn, DO in Evansville, IN - Medicare Diagnostic Radiology

Brandon Wynn, DO is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Evansville, Indiana. He went to At Still University Of Health Sciences, College Of Osteo Med, Kirksville and graduated in 2005 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southern Indiana Imaging Consultants P C, St Marys Health Inc and his current practice location is 3700 Washington Ave, Evansville, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 485-4000.

Brandon Wynn is licensed to practice in Indiana (license number 02004974A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326250234.

Contact Information

	Brandon Wynn, DO
	3700 Washington Ave, Evansville, IN 47714-0541
	(812) 485-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandon Wynn
Gender	Male
Speciality	Diagnostic Radiology
Experience	19 Years
Location	3700 Washington Ave, Evansville, Indiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brandon Wynn attended and graduated from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2005

NPI Data:

NPI Number: 1326250234
Provider Enumeration Date: 05/04/2007
Last Update Date: 01/23/2023

Medicare PECOS Information:

PECOS PAC ID: 0547391773
Enrollment ID: I20170330002185

Medical Identifiers

Medical identifiers for Brandon Wynn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326250234	NPI	-	NPPES
300017483	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	125-049385 (Illinois)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	2010006706 (Missouri)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	02004974A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent Evansville	Evansville, IN	Hospital
Ascension St Vincent Warrick	Boonville, IN	Hospital
Deaconess Hospital Inc	Evansville, IN	Hospital
Wabash General Hospital 1	Mount carmel, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Indiana Imaging Consultants P C	2062492291	10
St Marys Health Inc	9133023898	30

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. Brandon Wynn allows following entities to bill medicare on his behalf.

Entity Name	Southern Indiana Imaging Consultants P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972598886 PECOS PAC ID: 2062492291 Enrollment ID: O20040720001194

Entity Name	St Marys Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548661077 PECOS PAC ID: 9133023898 Enrollment ID: O20141031000852

Entity Name	Clinical Radiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063469252 PECOS PAC ID: 3476540873 Enrollment ID: O20161005002356

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. Brandon Wynn 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
Brandon Wynn, DO 3700 Washington Ave, Evansville, IN 47714-0541 Ph: (812) 485-4000	Brandon Wynn, DO 3700 Washington Ave, Evansville, IN 47714-0541 Ph: (812) 485-4000

Reviews and Comments

Radiology Doctors in Evansville, IN

Mr. John R Bies, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1120 Professional Blvd, Evansville, IN 47714 Phone: 812-479-9500 Fax: 812-437-0037
Dr. Daniel Riherd, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-450-5000
Gary W Kerber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3700 Washington Ave, Evansville, IN 47750 Phone: 812-485-4415 Fax: 812-471-6650
Dr. Alexander Matthew Clayton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254 Fax: 812-426-6388
Dr. Aly A. Razek, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 700 N Burkhardt Rd, Evansville, IN 47715 Phone: 812-474-1110 Fax: 812-471-9282
Dr. Michael Wayne Daugherty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 350 W Columbia St Ste 420, Evansville, IN 47710 Phone: 812-422-3254
Mackenzie Kay Stillwell, RT (R) Radiology Medicare: Not Enrolled in Medicare Practice Location: 4907 Theater Dr, Evansville, IN 47715 Phone: 812-773-3227

Brandon Wynn, DO - Medicare Diagnostic Radiology in Evansville, IN