Benjamin Layne Eithun, CRNP - Medicare Nurse Practitioner in Brodhead, WI

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Benjamin Layne Eithun, CRNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Brodhead, Wisconsin. His current practice location is E401 23rd St, Brodhead, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 701-7257.

Benjamin Layne Eithun is licensed to practice in Massachusetts (license number RN1000896) 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 1902132376.

Contact Information

Benjamin Layne Eithun, CRNP
E401 23rd St,
Brodhead, WI 53520-2203
(262) 701-7257
Not Available

Map and Direction




Provider's Profile

Full NameBenjamin Layne Eithun
GenderMale
SpecialityNurse Practitioner - Pediatrics
LocationE401 23rd St, Brodhead, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902132376
  • Provider Enumeration Date: 10/20/2009
  • Last Update Date: 06/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1850713025
  • Enrollment ID: I20241205000941

Medical Identifiers

Medical identifiers for Benjamin Layne Eithun such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902132376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5064 (Wisconsin)Secondary
363LP0200XNurse Practitioner - Pediatrics C178097 (Iowa)Secondary
363LP0200XNurse Practitioner - Pediatrics RN1000896 (Massachusetts)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. Benjamin Layne Eithun allows following entities to bill medicare on his behalf.
Entity NameUcsf Pediatrics Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376614016
PECOS PAC ID: 6204749112
Enrollment ID: O20031106000823
Entity NameUniversity Of California San Francisco
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Entity NameUcsf Dept Of Surgery
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477627537
PECOS PAC ID: 7719886373
Enrollment ID: O20040102000839
Entity NameUcsf Medical Group Business Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513

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. Benjamin Layne Eithun 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 AddressPractice Location Address
Benjamin Layne Eithun, CRNP
937 Merri Hill Dr,
Oregon, WI 53575-1001

Ph: (608) 212-9866		Benjamin Layne Eithun, CRNP
E401 23rd St,
Brodhead, WI 53520-2203

Ph: (262) 701-7257

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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