Brendan Blackwelder, in Mount Pleasant, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Brendan Blackwelder, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mount Pleasant, Wisconsin. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Racine Anesthesia Services Llc and his current practice location is 3801 Spring St, Mount Pleasant, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 687-4011.

Brendan Blackwelder is licensed to practice in Wisconsin (license number 164539-30) 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 1902279474.

Contact Information

	Brendan Blackwelder,
	3801 Spring St, Mount Pleasant, WI 53405-1667
	(262) 687-4011
	Not Available

Map and Direction

Provider's Profile

Full Name	Brendan Blackwelder
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	3801 Spring St, Mount Pleasant, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brendan Blackwelder graduated from nursing school in 2016

NPI Data:

NPI Number: 1902279474
Provider Enumeration Date: 11/05/2015
Last Update Date: 01/20/2021

Medicare PECOS Information:

PECOS PAC ID: 4981907011
Enrollment ID: I20160125001137

Medical Identifiers

Medical identifiers for Brendan Blackwelder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902279474	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	108356 (Wisconsin)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	164539-30 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension All Saints Hospital	Racine, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Racine Anesthesia Services Llc	8628103777	58

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. Brendan Blackwelder allows following entities to bill medicare on his behalf.

Entity Name	Racine Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106

Entity Name	Metro Milwaukee Anesthesia Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609130228 PECOS PAC ID: 3577780683 Enrollment ID: O20140814000066

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. Brendan Blackwelder 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
Brendan Blackwelder, 10828 Old Prescott Rd, Richmond, VA 23238-3529 Ph: () -	Brendan Blackwelder, 3801 Spring St, Mount Pleasant, WI 53405-1667 Ph: (262) 687-4011

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mount Pleasant, WI

Alexis Marie Ventura, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-857-5000
Maggie A Raskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011
Mr. Tyler Shea Hensley, DNAP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4048
Tony Flores Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 412-937-5000
Dr. Robert Marsh, DNP, CRNA, APNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13250 Washington Ave, Mount Pleasant, WI 53177 Phone: 262-799-8700
Mr. Gregory J Johnson, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 262-687-4011
Lucas Alexander Kemp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3801 Spring St, Mount Pleasant, WI 53405 Phone: 126-268-7401

Brendan Blackwelder, - Medicare Certified Registered Nurse Anesthetist (crna) in Mount Pleasant, WI