Brandon Bealer, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Olympia Fields, Illinois. His current practice location is
20201 Crawford Ave, Olympia Fields, Illinois. You can reach out to his office (for appointments etc.) via phone at
() -.
Brandon Bealer is licensed to practice in * (Not Available) (license number ) 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 1366025066.
Physician's Profile
Full Name | Brandon Bealer |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 20201 Crawford Ave, Olympia Fields, Illinois |
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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: 1366025066
- Provider Enumeration Date: 04/30/2021
- Last Update Date: 05/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204238777
- Enrollment ID: I20230508001972
Medical Identifiers
Medical identifiers for Brandon Bealer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366025066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01089594A (Indiana) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Brandon Bealer allows following entities to bill medicare on his behalf.
Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
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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. Brandon Bealer 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 |
Brandon Bealer, DO 306 S 800 W, Cedar City, UT 84720-3037 Ph: (435) 559-9068 | Brandon Bealer, DO 20201 Crawford Ave, Olympia Fields, IL 60461-1010 Ph: () - |
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