Dr Brandon C Zelman, DO is a medicare enrolled "Pathology - Dermatopathology" physician in Pleasant Prairie, Wisconsin. His current practice location is
11211 120th Ave Ste A009b, Pleasant Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 283-5333.
Dr Brandon C Zelman is licensed to practice in Wisconsin (license number 2955-321) 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 1073075032.
Physician's Profile
| Full Name | Dr Brandon C Zelman |
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| Gender | Male |
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| Speciality | Pathology - Dermatopathology |
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| Location | 11211 120th Ave Ste A009b, Pleasant Prairie, 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: 1073075032
- Provider Enumeration Date: 04/01/2019
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 8123561792
- Enrollment ID: I20240624003860
Medical Identifiers
Medical identifiers for Dr Brandon C Zelman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073075032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207ND0900X | Dermatology - Dermatopathology | 2955-321 (Wisconsin) | Secondary |
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2955-321 (Wisconsin) | Secondary |
| 207ZD0900X | Pathology - Dermatopathology | 2955-321 (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. Dr Brandon C Zelman allows following entities to bill medicare on his behalf.
| Entity Name | Forefront Dermatology Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083768253
PECOS PAC ID: 3779471701
Enrollment ID: O20040310000252 |
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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. Dr Brandon C Zelman 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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Dr Brandon C Zelman, DO
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Dr Brandon C Zelman, DO
11211 120th Ave Ste A009b,
Pleasant Prairie, WI 53158-1703
Ph: (262) 283-5333 |
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