Dr Shane Brahm, is a medicare enrolled "Optometrist" provider in Lac Du Flambeau, Wisconsin. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Lac Du Flambeau Band Of Lake Superior Chippewa Indians and his current practice location is
129 Old Abe Rd, Lac Du Flambeau, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 588-3371.
Dr Shane Brahm is licensed to practice in Wisconsin (license number 3376-35) 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 1831570761.
Healthcare Provider's Profile
| Full Name | Dr Shane Brahm |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 9 Years |
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| Location | 129 Old Abe Rd, Lac Du Flambeau, Wisconsin |
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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:
- Dr Shane Brahm graduated from medical school in 2015
NPI Data:
- NPI Number: 1831570761
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 06/16/2015
Medicare PECOS Information:
- PECOS PAC ID: 3678885704
- Enrollment ID: I20150702001115
Medical Identifiers
Medical identifiers for Dr Shane Brahm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831570761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 3376-35 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lac Du Flambeau Band Of Lake Superior Chippewa Indians | 5496707242 | 17 |
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 Shane Brahm allows following entities to bill medicare on his behalf.
| Provider Name | Lac Du Flambeau Band Of Lake Superior Chippewa Indians |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1134235047
PECOS PAC ID: 5496707242
Enrollment ID: O20050221000179 |
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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. Dr Shane Brahm 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 Shane Brahm,
129 Old Abe Rd,
Lac Du Flambeau, WI 54538-9386
Ph: (715) 588-3371 | Dr Shane Brahm,
129 Old Abe Rd,
Lac Du Flambeau, WI 54538-9386
Ph: (715) 588-3371 |
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