Marlon O'neil Brathwaite, MD in Goshen, IN

Marlon O'neil Brathwaite, MD is a medicare enrolled "Pediatrics" physician in Goshen, Indiana. His current practice location is 1852 Ashburn Dr, Goshen, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 533-5808.

Marlon O'neil Brathwaite is licensed to practice in Indiana (license number 01075074A) 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 1073872420.

Contact Information

	Marlon O'neil Brathwaite, MD
	1852 Ashburn Dr, Goshen, IN 46526-6537
	(574) 533-5808
	(574) 534-7215

Map and Direction

Physician's Profile

Full Name	Marlon O'neil Brathwaite
Gender	Male
Speciality	Pediatrics
Location	1852 Ashburn Dr, Goshen, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073872420
Provider Enumeration Date: 05/04/2012
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1153697206
Enrollment ID: I20191126002694

Medical Identifiers

Medical identifiers for Marlon O'neil Brathwaite such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073872420	NPI	-	NPPES
2012291240	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	01075074A (Indiana)	Secondary
208000000X	Pediatrics	01075074A (Indiana)	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. Marlon O'neil Brathwaite allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

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. Marlon O'neil Brathwaite 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
Marlon O'neil Brathwaite, MD 1852 Ashburn Dr, Goshen, IN 46526-6537 Ph: () -	Marlon O'neil Brathwaite, MD 1852 Ashburn Dr, Goshen, IN 46526-6537 Ph: (574) 533-5808

Reviews and Comments

Pediatrics Doctors in Goshen, IN

Neha Batra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 Ashburn Dr, Goshen, IN 46526 Phone: 574-533-5808
Matthew R Misner, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 213 Middlebury St, Goshen, IN 46528 Phone: 574-534-3300 Fax: 574-534-5412
Dr. Natalie Kurtz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 Ashburn Dr, Goshen, IN 46526 Phone: 574-533-5808
Dr. Glenn B Stoltzfus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1345 Somerset Ct, Goshen, IN 46528 Phone: 574-534-1813
Mrs. Kehinde Animashaun, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 Ashburn Dr, Goshen, IN 46526 Phone: 574-533-5808 Fax: 574-534-7215
Tiffany Lahr, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 Ashburn Dr, Goshen, IN 46526 Phone: 574-533-5808 Fax: 574-534-7215

Marlon O'neil Brathwaite, MD - Medicare Pediatrics in Goshen, IN