Danielle Ann Bly Brack, MD in Toledo, OH

Danielle Ann Bly Brack, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Toledo, Ohio. Her current practice location is 5757 Park Center Ct., Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 474-4064.

Danielle Ann Bly Brack is licensed to practice in Ohio (license number 35.154043) 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 1730642802.

Contact Information

	Danielle Ann Bly Brack, MD
	5757 Park Center Ct., Toledo, OH 43615
	(419) 474-4064
	(419) 472-2772

Map and Direction

Physician's Profile

Full Name	Danielle Ann Bly Brack
Gender	Female
Speciality	Radiology - Diagnostic Radiology
Location	5757 Park Center Ct., Toledo, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730642802
Provider Enumeration Date: 04/07/2019
Last Update Date: 09/26/2025

Medicare PECOS Information:

PECOS PAC ID: 9931646726
Enrollment ID: I20240729004077

Medical Identifiers

Medical identifiers for Danielle Ann Bly Brack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730642802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	4301511363 (Michigan)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	35.154043 (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. Danielle Ann Bly Brack allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of Michigan
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205868353 PECOS PAC ID: 3779496856 Enrollment ID: O20031106000325

Entity Name	Metropolitan Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811937519 PECOS PAC ID: 5597651836 Enrollment ID: O20040507000012

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. Danielle Ann Bly Brack 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
Danielle Ann Bly Brack, MD 5757 Park Center Ct., Toledo, OH 43615 Ph: (419) 474-4064	Danielle Ann Bly Brack, MD 5757 Park Center Ct., Toledo, OH 43615 Ph: (419) 474-4064

Reviews and Comments

Radiology Doctors in Toledo, OH

Mohammed Said Al-natour, M.D Radiology Medicare: Accepting Medicare Assignments Practice Location: 3000 Arlington Ave, Graduate Medical Education, Ms 1050, Toledo, OH 43614 Phone: 419-383-4244 Fax: 419-383-3108
Jack F Conner, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5757 Park Center Ct., Toledo, OH 43615 Phone: 419-474-4064 Fax: 419-472-2772
Dr. Joseph Migliori Jr., D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4340
Mr. Robin B Shermis, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5757 Park Center Ct., Toledo, OH 43615 Phone: 419-474-4064 Fax: 419-472-2772
Dr. Donald L Cox, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2658 W. Laskey Road, 2nd Floor, Toledo, OH 43613 Phone: 419-473-8105 Fax: 419-254-2121
Syed S Zamir, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-4340
Mr. Jonathan J. Yobbagy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5757 Park Center Ct., Suite 200, Toledo, OH 43615 Phone: 419-474-4064 Fax: 419-472-2772

Danielle Ann Bly Brack, MD - Medicare Radiology in Toledo, OH