Dr Keri R Brown, PHD - Medicare Psychologist in Black Earth, WI

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Dr Keri R Brown, PHD is a medicare enrolled "Psychologist - Clinical" provider in Black Earth, Wisconsin. Her current practice location is 4752 Old Indian Trl, Black Earth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (419) 989-5532.

Dr Keri R Brown is licensed to practice in Wisconsin (license number 3512-57) 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 1013209352.

Contact Information

Dr Keri R Brown, PHD
4752 Old Indian Trl,
Black Earth, WI 53515-9745
(419) 989-5532
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Keri R Brown
GenderFemale
SpecialityPsychologist - Clinical
Location4752 Old Indian Trl, Black Earth, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013209352
  • Provider Enumeration Date: 05/04/2011
  • Last Update Date: 11/22/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9638341670
  • Enrollment ID: I20230329003236

Medical Identifiers

Medical identifiers for Dr Keri R Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013209352NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 34949 (Texas)Secondary
103TC0700XPsychologist - Clinical 3512-57 (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. Dr Keri R Brown allows following entities to bill medicare on her behalf.
Entity NameKeri Brown Phd, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477262061
PECOS PAC ID: 1850761800
Enrollment ID: O20230109000493

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 Keri R Brown 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 AddressPractice Location Address
Dr Keri R Brown, PHD
Po Box 322,
Black Earth, WI 53515-0322

Ph: (608) 370-2345		Dr Keri R Brown, PHD
4752 Old Indian Trl,
Black Earth, WI 53515-9745

Ph: (419) 989-5532

Reviews and Comments


Psychologist in Black Earth, WI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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