Michael Dale Brackenrich, DO is a medicare enrolled "Family Medicine" physician in Rich Creek, Virginia. He went to West Virginia School Of Osteopathic Medicine and graduated in 1985 and has 39 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Brackenrich Family Practice Plc and his current practice location is
363 Woodland St, Rich Creek, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 726-2375.
Michael Dale Brackenrich is licensed to practice in Virginia (license number 0102036943) 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 1972603744.
Physician's Profile
| Full Name | Michael Dale Brackenrich |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 39 Years |
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| Location | 363 Woodland St, Rich Creek, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michael Dale Brackenrich attended and graduated from West Virginia School Of Osteopathic Medicine in 1985
NPI Data:
- NPI Number: 1972603744
- Provider Enumeration Date: 09/22/2006
- Last Update Date: 01/28/2011
Medicare PECOS Information:
- PECOS PAC ID: 7911054853
- Enrollment ID: I20090413000288
Medical Identifiers
Medical identifiers for Michael Dale Brackenrich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1972603744 | NPI | - | NPPES |
| 005696208 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 0102036943 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Brackenrich Family Practice Plc | 9739236670 | 2 |
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. Michael Dale Brackenrich allows following entities to bill medicare on his behalf.
| Entity Name | Brackenrich Family Practice Plc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225136021
PECOS PAC ID: 9739236670
Enrollment ID: O20090413000289 |
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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. Michael Dale Brackenrich 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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Michael Dale Brackenrich, DO
363 Woodland St, Po Box B,
Rich Creek, VA 24147
Ph: (540) 726-2375 | Michael Dale Brackenrich, DO
363 Woodland St,
Rich Creek, VA 24147-0336
Ph: (540) 726-2375 |
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