Dr Ryan Brothers, DO is a medicare enrolled "Dermatology" physician in Bingham Farms, Michigan. His current practice location is
32270 Telegraph Rd Ste 200, Bingham Farms, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 353-0880.
Dr Ryan Brothers is licensed to practice in Michigan (license number 5101025916) 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 1528597044.
Physician's Profile
Full Name | Dr Ryan Brothers |
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Gender | Male |
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Speciality | Dermatology |
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Location | 32270 Telegraph Rd Ste 200, Bingham Farms, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528597044
- Provider Enumeration Date: 06/08/2017
- Last Update Date: 10/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 5496159030
- Enrollment ID: I20210804002653
Medical Identifiers
Medical identifiers for Dr Ryan Brothers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528597044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 11008558-1204 (Utah) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 5101023189 (Michigan) | Secondary |
207N00000X | Dermatology | 5101025916 (Michigan) | 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 Ryan Brothers allows following entities to bill medicare on his behalf.
Entity Name | Northwest Dermatolgy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285656777 PECOS PAC ID: 5799767596 Enrollment ID: O20040604000608 |
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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 Ryan Brothers 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 Ryan Brothers, DO 32270 Telegraph Rd Ste 200, Bingham Farms, MI 48025-2428 Ph: (248) 353-0880 | Dr Ryan Brothers, DO 32270 Telegraph Rd Ste 200, Bingham Farms, MI 48025-2428 Ph: (248) 353-0880 |
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