Dr Shane Brahm, is a medicare enrolled "Optometrist" provider in Lac Du Flambeau, Wisconsin. 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 | |
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| Experience | 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 attended and graduated from in
NPI Data:
- NPI Number: 1831570761
- Provider Enumeration Date: 06/16/2015
- Last Update Date: 06/16/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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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