Dr Michelle Anne Brannick, DC, ND is a medicare enrolled "Chiropractor - Internist" provider in Lagrange Park, Illinois. Her current practice location is
1013 E 31st St, Lagrange Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 447-2468.
Dr Michelle Anne Brannick is licensed to practice in Illinois (license number 038010197) 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 1699838623.
Healthcare Provider's Profile
| Full Name | Dr Michelle Anne Brannick |
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| Gender | Female |
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| Speciality | Chiropractor - Internist |
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| Location | 1013 E 31st St, Lagrange Park, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1699838623
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 11/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466790381
- Enrollment ID: I20190219000219
Medical Identifiers
Medical identifiers for Dr Michelle Anne Brannick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699838623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111NN1001X | Chiropractor - Nutrition | 038010197 (Illinois) | Secondary |
| 111NS0005X | Chiropractor - Sports Physician | 038010197 (Illinois) | Secondary |
| 111NI0900X | Chiropractor - Internist | 038010197 (Illinois) | 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 Michelle Anne Brannick allows following entities to bill medicare on her behalf.
| Provider Name | Brannick Clinic Of Natural Medicine S C |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1881868016
PECOS PAC ID: 6507103348
Enrollment ID: O20190131002848 |
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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. Dr Michelle Anne Brannick 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 |
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Dr Michelle Anne Brannick, DC, ND
1650 E Main St,
St. Charles, IL 60174-2373
Ph: (630) 444-0066 | Dr Michelle Anne Brannick, DC, ND
1013 E 31st St,
Lagrange Park, IL 60526-1218
Ph: (708) 447-2468 |
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