Mr Brandon Paul Bodnariuk, PA-C is a medicare enrolled "Physician Assistant" physician in Ann Arbor, Michigan. His current practice location is
24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 936-5738.
Mr Brandon Paul Bodnariuk is licensed to practice in Michigan (license number 5601010426) 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 1235715087.
Physician's Profile
Full Name | Mr Brandon Paul Bodnariuk |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, 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: 1235715087
- Provider Enumeration Date: 03/22/2021
- Last Update Date: 12/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890165047
- Enrollment ID: I20230104000134
Medical Identifiers
Medical identifiers for Mr Brandon Paul Bodnariuk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235715087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 5601010426 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601010426 (Michigan) | Primary |
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. Mr Brandon Paul Bodnariuk 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 |
Mr Brandon Paul Bodnariuk, PA-C 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Mr Brandon Paul Bodnariuk, PA-C 24 Frank Lloyd Wright Dr Lbby A, Ann Arbor, MI 48105-9484 Ph: (734) 936-5738 |
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