Taylor Lee Braunberger, MD is a medicare enrolled "Dermatology" physician in Dickinson, North Dakota. Her current practice location is
2615 Fairway St, Dickinson, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 456-6000.
Taylor Lee Braunberger is licensed to practice in North Dakota (license number 20321) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811359003.
Physician's Profile
Full Name | Taylor Lee Braunberger |
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Gender | Female |
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Speciality | Dermatology |
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Location | 2615 Fairway St, Dickinson, North Dakota |
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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: 1811359003
- Provider Enumeration Date: 03/25/2016
- Last Update Date: 01/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335419498
- Enrollment ID: I20210122002456
Medical Identifiers
Medical identifiers for Taylor Lee Braunberger such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811359003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 4301112111 (Michigan) | Secondary |
207N00000X | Dermatology | 20321 (North Dakota) | 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. Taylor Lee Braunberger allows following entities to bill medicare on her behalf.
Entity Name | Brookview Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
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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. Taylor Lee Braunberger 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 |
Taylor Lee Braunberger, MD Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Taylor Lee Braunberger, MD 2615 Fairway St, Dickinson, ND 58601-2590 Ph: (701) 456-6000 |
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