Brian L Withers, DO is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in La Crosse, Wisconsin. His current practice location is
800 West Ave S, La Crosse, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 785-0940.
Brian L Withers is licensed to practice in Wisconsin (license number 59876) 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 1548464902.
Physician's Profile
| Full Name | Brian L Withers |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 800 West Ave S, La Crosse, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548464902
- Provider Enumeration Date: 06/12/2007
- Last Update Date: 07/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931349123
- Enrollment ID: I20130808000251
Medical Identifiers
Medical identifiers for Brian L Withers such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548464902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 5101017014 (Michigan) | Secondary |
| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | 59876 (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. Brian L Withers allows following entities to bill medicare on his behalf.
| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629056049
PECOS PAC ID: 0345152443
Enrollment ID: O20031110000684 |
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| Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1841278637
PECOS PAC ID: 0345152443
Enrollment ID: O20100506000523 |
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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. Brian L Withers 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 |
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Brian L Withers, DO
200 1st St Sw,
Rochester, MN 55905-0001
Ph: (608) 785-0940 | Brian L Withers, DO
800 West Ave S,
La Crosse, WI 54601
Ph: (608) 785-0940 |
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