Beau Braden, is a medicare enrolled "Emergency Medicine" physician in Ave Maria, Florida. His current practice location is
5050 Ave Maria Blvd, Ave Maria, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 867-4395.
Beau Braden is licensed to practice in Florida (license number OS12519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902044985.
Physician's Profile
| Full Name | Beau Braden |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 5050 Ave Maria Blvd, Ave Maria, Florida |
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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: 1902044985
- Provider Enumeration Date: 01/28/2009
- Last Update Date: 11/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 0648454090
- Enrollment ID: I20131008001363
Medical Identifiers
Medical identifiers for Beau Braden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902044985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PT0002X | Emergency Medicine - Medical Toxicology | OS12519 (Florida) | Secondary |
| 207P00000X | Emergency Medicine | OS12519 (Florida) | Primary |
| 208D00000X | General Practice | OS12519 (Florida) | Secondary |
| 207QA0401X | Family Medicine - Addiction Medicine | OS12519 (Florida) | Secondary |
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. Beau Braden allows following entities to bill medicare on his behalf.
| Entity Name | Epn Of Nebraska Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205382264
PECOS PAC ID: 3375830623
Enrollment ID: O20160929002071 |
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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. Beau Braden 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 |
|---|
Beau Braden,
5050 Ave Maria Blvd,
Ave Maria, FL 34142-9505
Ph: (239) 867-4395 | Beau Braden,
5050 Ave Maria Blvd,
Ave Maria, FL 34142-9505
Ph: (239) 867-4395 |
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