Ms Nicole Katherine Brandstrup, PC-PROV, ATR-BC - Medicare Counselor in Toledo, OH

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Ms Nicole Katherine Brandstrup, PC-PROV, ATR-BC is a medicare enrolled "Counselor - Professional" provider in Toledo, Ohio. Her current practice location is 3130 Executive Pkwy Fl 8, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 720-9000.

Ms Nicole Katherine Brandstrup is licensed to practice in Ohio (license number C.1000106.PROV.) 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 1174893267.

Contact Information

Ms Nicole Katherine Brandstrup, PC-PROV, ATR-BC
3130 Executive Pkwy Fl 8,
Toledo, OH 43606-5530
(419) 720-9000
(419) 720-9002

Map and Direction


Healthcare Provider's Profile

Full NameMs Nicole Katherine Brandstrup
GenderFemale
SpecialityCounselor - Professional
Location3130 Executive Pkwy Fl 8, Toledo, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174893267
  • Provider Enumeration Date: 01/05/2012
  • Last Update Date: 01/05/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 9133562259
  • Enrollment ID: I20240206002284

Medical Identifiers

Medical identifiers for Ms Nicole Katherine Brandstrup such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174893267NPI-NPPES
C.1000106.PROV.OtherOHCOUNSELOR LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional C.1000106.PROV. (Ohio)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. Ms Nicole Katherine Brandstrup allows following entities to bill medicare on her behalf.
Entity NameMercy Health Physicians North Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306468418
PECOS PAC ID: 1951707884
Enrollment ID: O20210901001534

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. Ms Nicole Katherine Brandstrup 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
Ms Nicole Katherine Brandstrup, PC-PROV, ATR-BC
3130 Executive Pkwy Fl 8,
Toledo, OH 43606-5530

Ph: (419) 720-9000		Ms Nicole Katherine Brandstrup, PC-PROV, ATR-BC
3130 Executive Pkwy Fl 8,
Toledo, OH 43606-5530

Ph: (419) 720-9000

Reviews and Comments


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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.