Brandon J Manderle, MD in Portage, MI - Medicare Family Medicine

Brandon J Manderle, MD is a medicare enrolled "Family Medicine" physician in Portage, Michigan. His current practice location is 2700 E Centre Ave, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 286-7050.

Brandon J Manderle is licensed to practice in Michigan (license number 4301505916) 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 1013576271.

Contact Information

	Brandon J Manderle, MD
	2700 E Centre Ave, Portage, MI 49002-5500
	(269) 286-7050
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandon J Manderle
Gender	Male
Speciality	Family Medicine
Location	2700 E Centre Ave, Portage, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013576271
Provider Enumeration Date: 06/11/2019
Last Update Date: 07/27/2022

Medicare PECOS Information:

PECOS PAC ID: 6507190675
Enrollment ID: I20220802001982

Medical Identifiers

Medical identifiers for Brandon J Manderle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013576271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	4301505916 (Michigan)	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 J Manderle allows following entities to bill medicare on his behalf.

Entity Name	Bronson Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832

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 J Manderle 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 J Manderle, MD 601 John Street, Box 39, Kalamazoo, MI 49007-1282 Ph: () -	Brandon J Manderle, MD 2700 E Centre Ave, Portage, MI 49002-5500 Ph: (269) 286-7050

Reviews and Comments

Family Medicine Doctors in Portage, MI

Carolyn Von Maur, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Road, Suite B-201, Portage, MI 49024 Phone: 269-324-8600
Dr. Xue Wang, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 Angling Rd, Portage, MI 49024 Phone: 269-324-8600
Remnant Mwanahiba, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2700 E Centre Ave, Portage, MI 49002 Phone: 269-286-7050
Dr. Ann M. Busha, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134
Amber Darey, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3300 W Centre Ave, Portage, MI 49024 Phone: 269-324-8950 Fax: 269-324-2134
Lawrence Ulmer, Family Medicine Medicare: Medicare Enrolled Practice Location: 7901 Angling Rd, Suite B-201, Portage, MI 49024 Phone: 269-324-8600 Fax: 269-324-8617

Brandon J Manderle, MD - Medicare Family Medicine in Portage, MI