Brenda A Blohm, MD - Medicare Family Practice in Portage, WI

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Brenda A Blohm, MD is a medicare enrolled "Family Medicine" physician in Portage, Wisconsin. She went to Northwestern University Feinberg Medical School and graduated in 1994 and has 30 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Divine Savior Healthcare Inc and her current practice location is 2817 New Pinery Rd, Divine Savior Healthcare Inc, Portage, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 745-4598.

Brenda A Blohm is licensed to practice in Wisconsin (license number 38801020) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881677011.

Contact Information

Brenda A Blohm, MD
2817 New Pinery Rd, Divine Savior Healthcare Inc,
Portage, WI 53901-9257
(608) 745-4598
(608) 745-6242

Map and Direction




Physician's Profile

Full NameBrenda A Blohm
GenderFemale
SpecialityFamily Practice
Experience30 Years
Location2817 New Pinery Rd, Portage, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brenda A Blohm attended and graduated from Northwestern University Feinberg Medical School in 1994
  NPI Data:
  • NPI Number: 1881677011
  • Provider Enumeration Date: 11/22/2005
  • Last Update Date: 10/14/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1658389739
  • Enrollment ID: I20100517000365

Medical Identifiers

Medical identifiers for Brenda A Blohm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881677011NPI-NPPES
32383000MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 38801020 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Agrace HospicecareMadison, WIHospice
St Croix Hospice MadisonMadison, WIHospice
Divine Savior HealthcarePortage, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Divine Savior Healthcare Inc579968400776

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. Brenda A Blohm allows following entities to bill medicare on her behalf.
Entity NameDivine Savior Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124083894
PECOS PAC ID: 5799684007
Enrollment ID: O20040225000909

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. Brenda A Blohm 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
Brenda A Blohm, MD
Po Box 387, Divine Savior Healthcare Inc,
Portage, WI 53901-0387

Ph: (608) 745-4598		Brenda A Blohm, MD
2817 New Pinery Rd, Divine Savior Healthcare Inc,
Portage, WI 53901-9257

Ph: (608) 745-4598

Reviews and Comments


Family Medicine Doctors in Portage, WI

Kelly Coker, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-745-5145    
Richard J Qualy, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2977 County Hwy Cx, Portage, WI 53901
Phone: 608-742-3004    Fax: 608-742-2399
Gerald L Krumpos, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-742-7161    Fax: 608-745-3060
Dr. Jamie John Kling, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2977 County Hwy Cx, Portage, WI 53901
Phone: 608-742-3004    Fax: 608-742-2399
Dr. Sarah M Haroldson, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-742-7161    Fax: 608-745-3990
Dr. Vasilisa Mironovich, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2817 New Pinery Rd, Portage, WI 53901
Phone: 608-742-4131    Fax: 608-745-6393
David D Gregory, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2825 Hunters Trl, Portage, WI 53901
Phone: 608-724-7161    Fax: 608-745-3060

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.