Brandon David Ahlgren, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Detroit, Michigan. His current practice location is
4201 Saint Antoine St # 4h, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(248) 860-1568.
Brandon David Ahlgren is licensed to practice in * (Not Available) (license number ) 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 1700415874.
Physician's Profile
Full Name | Brandon David Ahlgren |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 4201 Saint Antoine St # 4h, Detroit, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1700415874
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 04/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466862115
- Enrollment ID: I20250414000360
Medical Identifiers
Medical identifiers for Brandon David Ahlgren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700415874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RR0500X | Internal Medicine - Rheumatology | 4351051545 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Brandon David Ahlgren allows following entities to bill medicare on his behalf.
Entity Name | Munson Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083761860 PECOS PAC ID: 3072426287 Enrollment ID: O20040108000904 |
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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. Brandon David Ahlgren 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 |
Brandon David Ahlgren, MD 4201 Saint Antoine St # 4h, Detroit, MI 48201-2153 Ph: () - | Brandon David Ahlgren, MD 4201 Saint Antoine St # 4h, Detroit, MI 48201-2153 Ph: (248) 860-1568 |
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