Douglas Clyde Brey, LLP is a medicare enrolled "Counselor - Professional" provider in Oshkosh, Wisconsin. His current practice location is
220 Washington Ave, Oshkosh, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 236-4700.
Douglas Clyde Brey is licensed to practice in Wisconsin (license number 4871) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093886723.
Healthcare Provider's Profile
Full Name | Douglas Clyde Brey |
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Gender | Male |
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Speciality | Counselor - Professional |
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Location | 220 Washington Ave, Oshkosh, Wisconsin |
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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: 1093886723
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 09/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 6507208998
- Enrollment ID: I20240530003441
Medical Identifiers
Medical identifiers for Douglas Clyde Brey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093886723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TB0200X | Psychologist - Cognitive & Behavioral | 6301011664 (Michigan) | Secondary |
101YP2500X | Counselor - Professional | 4871 (Wisconsin) | 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. Douglas Clyde Brey allows following entities to bill medicare on his behalf.
Entity Name | Washington County Wisconsin |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609801778 PECOS PAC ID: 1951202142 Enrollment ID: O20040120000487 |
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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. Douglas Clyde Brey 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 |
Douglas Clyde Brey, LLP 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700 | Douglas Clyde Brey, LLP 220 Washington Ave, Oshkosh, WI 54901-5030 Ph: (920) 236-4700 |
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