Jeremy Brouillette, DPM in Salem, VA - Medicare Podiatry Provider

Jeremy Brouillette, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Salem, Virginia. He went to Kent State University College Of Podiatric Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Foot And Ankle Clinic Of The Virginias Inc, Foot And Ankle Clinic Of The Virginias Inc and his current practice location is 1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, Virginia. You can reach out to his office (for appointments etc.) via phone at (540) 982-2463.

Jeremy Brouillette is licensed to practice in West Virginia (license number 10448) 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 1477969806.

Contact Information

	Jeremy Brouillette, DPM
	1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, VA 24153-6404
	(540) 982-2463
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jeremy Brouillette
Gender	Male
Speciality	Podiatry
Experience	10 Years
Location	1970 Roanoke Blvd, Salem, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeremy Brouillette attended and graduated from Kent State University College Of Podiatric Medicine in 2014

NPI Data:

NPI Number: 1477969806
Provider Enumeration Date: 07/07/2014
Last Update Date: 05/09/2017

Medicare PECOS Information:

PECOS PAC ID: 0749558252
Enrollment ID: I20170623001800

Medical Identifiers

Medical identifiers for Jeremy Brouillette such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477969806	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	10448 (West Virginia)	Primary
213ES0103X	Podiatrist - Foot & Ankle Surgery	0103301199 (Virginia)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Foot And Ankle Clinic Of The Virginias Inc	7911948583	11
Foot And Ankle Clinic Of The Virginias Inc	7911948583	11

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. Jeremy Brouillette allows following entities to bill medicare on his behalf.

Provider Name	Foot And Ankle Clinic Of The Virginias Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1740227909 PECOS PAC ID: 7911948583 Enrollment ID: O20050513000739

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. Jeremy Brouillette 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
Jeremy Brouillette, DPM 919 Camelot Dr Apt 46, Salem, VA 24153-5655 Ph: () -	Jeremy Brouillette, DPM 1970 Roanoke Blvd, Bldg 143, Podiatry Department, Salem, VA 24153-6404 Ph: (540) 982-2463

Reviews and Comments

Podiatrist in Salem, VA

Dr. Conrad Allison Claytor, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1934 Braeburn Dr, Salem, VA 24153 Phone: 540-982-0253 Fax: 540-982-1996
Toni D Chadwick, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1944
Dr. Benedict A Profera, DPM, MPH Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1589 Innsbrooke Dr, Salem, VA 24153 Phone: 540-389-6267
Valley Podiatry Pc Podiatrist Medicare: Medicare Enrolled Practice Location: 1934 Braeburn Dr, Salem, VA 24153 Phone: 540-982-0253 Fax: 540-982-1996
John H Bonk, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-554-1944
Paul Shearer, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 1970 Roanoke Blvd, Salem, VA 24153 Phone: 540-982-2463 Fax: 540-224-1944

Jeremy Brouillette, DPM - Medicare Podiatrist in Salem, VA