Shelby Ann Brandsma, LCSW - Medicare Clinical Social Worker in West Bend, WI

Shelby Ann Brandsma, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Bend, Wisconsin. Her current practice location is 111 E Washington St, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 338-2717.

Shelby Ann Brandsma is licensed to practice in Wisconsin (license number 9862-123) 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 1992458376.

Contact Information

Shelby Ann Brandsma, LCSW
111 E Washington St,
West Bend, WI 53095-2571
(262) 338-2717
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShelby Ann Brandsma
GenderFemale
SpecialitySocial Worker - Clinical
Location111 E Washington St, West Bend, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992458376
  • Provider Enumeration Date: 01/27/2022
  • Last Update Date: 11/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022403625
  • Enrollment ID: I20220317001541

Medical Identifiers

Medical identifiers for Shelby Ann Brandsma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992458376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9862-123 (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. Shelby Ann Brandsma allows following entities to bill medicare on her behalf.
Entity NameAffiliated Clinical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851473698
PECOS PAC ID: 0244124899
Enrollment ID: O20040212000835

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. Shelby Ann Brandsma 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
Shelby Ann Brandsma, LCSW
N6631 Thompson Rd,
Beaver Dam, WI 53916-9411

Ph: (920) 296-0611
Shelby Ann Brandsma, LCSW
111 E Washington St,
West Bend, WI 53095-2571

Ph: (262) 338-2717

Reviews and Comments


Social Worker in West Bend, WI

Tiffany Dubey, LCSW, SAC-IT
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    
Mr. Mical Gustave Schaffer, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 400 W River Dr, West Bend, WI 53090
Phone: 262-338-2717    
Abby Louise Janssen, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    Fax: 262-338-9767
Diana Azimov, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1622 Chestnut St, West Bend, WI 53095
Phone: 262-306-9800    
Ryanne Beth Wendt, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    
Mrs. Amy R. Schumann, LSCW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1622 Chestnut St, West Bend, WI 53095
Phone: 262-338-9498    
Stephanie Gudmunsen, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095
Phone: 262-335-4545    Fax: 262-335-6827

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.