Daniel Brunner, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Neenah, Wisconsin. His current practice location is
1205 W American Dr, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 430-8113.
Daniel Brunner is licensed to practice in Wisconsin (license number 71871-21) 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 1811492622.
Physician's Profile
| Full Name | Daniel Brunner |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1205 W American Dr, Neenah, Wisconsin |
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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: 1811492622
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 09/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082031117
- Enrollment ID: I20230823002613
Medical Identifiers
Medical identifiers for Daniel Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1811492622 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 71871-21 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 71871-21 (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. Daniel Brunner allows following entities to bill medicare on his behalf.
| Entity Name | Orthopedic & Sports Medicine Specialists Of Green Bay Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760670145 PECOS PAC ID: 9739264714 Enrollment ID: O20080314000537 |
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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. Daniel Brunner 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 |
Daniel Brunner, DO 2223 Lime Kiln Rd Ste 1, Green Bay, WI 54311-6213 Ph: (920) 430-8113 | Daniel Brunner, DO 1205 W American Dr, Neenah, WI 54956-1405 Ph: (920) 430-8113 |
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