Holly Brandenburg, DPT in Maplewood, MN - Medicare Physical Therapist Provider

Holly Brandenburg, DPT is a medicare enrolled "Physical Therapist" provider in Maplewood, Minnesota. Her current practice location is 2945 Hazelwood St Ste 100, Maplewood, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 232-7800.

Holly Brandenburg is licensed to practice in Minnesota (license number 13307) 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 1285412783.

Contact Information

	Holly Brandenburg, DPT
	2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242
	(651) 232-7800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Holly Brandenburg
Gender	Female
Speciality	Physical Therapist
Location	2945 Hazelwood St Ste 100, Maplewood, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285412783
Provider Enumeration Date: 09/18/2023
Last Update Date: 09/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5496109985
Enrollment ID: I20231003000911

Medical Identifiers

Medical identifiers for Holly Brandenburg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285412783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	13307 (Minnesota)	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. Holly Brandenburg allows following entities to bill medicare on her behalf.

Provider Name	Fairview Express Care
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Provider Name	Healtheast Outpatient Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040

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. Holly Brandenburg 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
Holly Brandenburg, DPT 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 Ph: () -	Holly Brandenburg, DPT 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 Ph: (651) 232-7800

Reviews and Comments

Physical Therapist in Maplewood, MN

Annaliese P Miller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1570 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-232-7820
Ms. Jacqueline May-ly Vo, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1570 Beam Ave Ste 200, Maplewood, MN 55109 Phone: 651-232-7820
Alisse Zignego, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2945 Hazelwood St Ste 320, Maplewood, MN 55109 Phone: 612-273-6228
Johnathan Cicchese, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1747 Beam Ave, Suite Number 100, Maplewood, MN 55109 Phone: 651-326-5569
Dr. Ryan P Tully, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Maplewood, MN 55109 Phone: 231-846-8766
Elise Vanett Mackenzie, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1570 Beam Ave, Maplewood, MN 55109 Phone: 651-326-7940
Gayla Marie Pleggenkuhle, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1655 Beam Ave, Suite 309, Maplewood, MN 55109 Phone: 651-779-6543

Holly Brandenburg, DPT - Medicare Physical Therapist in Maplewood, MN