Dr Brandon Keith Connerly, MD is a medicare enrolled "Family Medicine" physician in New Salisbury, Indiana. He went to Indiana University School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Harrison County Hospital and his current practice location is
1601 E Whiskey Run Rd Ne, New Salisbury, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 347-9977.
Dr Brandon Keith Connerly is licensed to practice in Indiana (license number 01058296A) 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 1558361899.
Physician's Profile
| Full Name | Dr Brandon Keith Connerly |
|---|
| Gender | Male |
|---|
| Speciality | Family Practice |
|---|
| Experience | 25 Years |
|---|
| Location | 1601 E Whiskey Run Rd Ne, New Salisbury, 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:
- Dr Brandon Keith Connerly attended and graduated from Indiana University School Of Medicine in 1999
NPI Data:
- NPI Number: 1558361899
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 07/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224922109
- Enrollment ID: I20040211000751
Medical Identifiers
Medical identifiers for Dr Brandon Keith Connerly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558361899 | NPI | - | NPPES |
| 200459910 | Medicaid | IN | |
| 2475101 | Medicaid | OH | |
| 000000322352 | Other | IN | BC/BS # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 01058296A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Harrison County Hospital | 9032007208 | 35 |
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. Dr Brandon Keith Connerly allows following entities to bill medicare on his behalf.
| Entity Name | Harrison County Hospital |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790892727
PECOS PAC ID: 9032007208
Enrollment ID: O20040406000076 |
|---|
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. Dr Brandon Keith Connerly 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 |
|---|
Dr Brandon Keith Connerly, MD
Po Box 38,
Corydon, IN 47112-0038
Ph: (812) 738-4251 | Dr Brandon Keith Connerly, MD
1601 E Whiskey Run Rd Ne,
New Salisbury, IN 47161-9345
Ph: (812) 347-9977 |
Reviews and Comments