Dr Keely Annmarie Brouhard, OD in Indianapolis, IN

Dr Keely Annmarie Brouhard, OD is a medicare enrolled "Optometrist" provider in Indianapolis, Indiana. Her current practice location is 10777 E Washington St Ste A, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 897-0480.

Dr Keely Annmarie Brouhard is licensed to practice in Indiana (license number 18004408A) 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 1023794591.

Contact Information

	Dr Keely Annmarie Brouhard, OD
	10777 E Washington St Ste A, Indianapolis, IN 46229-2642
	(317) 897-0480
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keely Annmarie Brouhard
Gender	Female
Speciality	Optometrist
Location	10777 E Washington St Ste A, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023794591
Provider Enumeration Date: 06/27/2023
Last Update Date: 06/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1254790280
Enrollment ID: I20230707003189

Medical Identifiers

Medical identifiers for Dr Keely Annmarie Brouhard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023794591	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	18004408A (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. Dr Keely Annmarie Brouhard allows following entities to bill medicare on her behalf.

Provider Name	First Impressions Optometric Associates, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083366363 PECOS PAC ID: 6800281825 Enrollment ID: O20220309002226

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. Dr Keely Annmarie Brouhard 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
Dr Keely Annmarie Brouhard, OD 2477 S Woolery Mill Dr, Bloomington, IN 47403-3266 Ph: (937) 631-5700	Dr Keely Annmarie Brouhard, OD 10777 E Washington St Ste A, Indianapolis, IN 46229-2642 Ph: (317) 897-0480

Reviews and Comments

Optometrist in Indianapolis, IN

Eskenazi Health, Optical Shop Optometrist Medicare: Medicare Enrolled Practice Location: 720 Eskenazi Ave., C6-104, Indianapolis, IN 46202 Phone: 317-880-8552
Julia L Blank, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4551 Sylvan Rd, Indianapolis, IN 46228 Phone: 317-329-8462
Nhi Thi Tuyet Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1901 N Meridian Street, Indianapolis, IN 46202 Phone: 317-925-2200 Fax: 317-921-0886
Gloria C Jennings, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1717 W 86th St, Suite 130, Indianapolis, IN 46260 Phone: 317-876-1112 Fax: 317-876-2187
Arthur D Fisher, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 350 E New York St, Suite 250, Indianapolis, IN 46204 Phone: 317-634-8617
Michael Schottman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4200 S East St, Indianapolis, IN 46227 Phone: 217-821-5346
Eskenazi Health Forest Manor Optometry & Optical Optometrist Medicare: Medicare Enrolled Practice Location: 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226 Phone: 317-880-8800

Dr Keely Annmarie Brouhard, OD - Medicare Optometrist in Indianapolis, IN