Benjamin Layne Eithun, CRNP is a medicare enrolled "Nurse Practitioner" 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 Wisconsin (license number 5064) 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.
Provider's Profile
Full Name | Benjamin Layne Eithun |
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Gender | Male |
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Speciality | Nurse Practitioner |
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Location | E401 23rd St, Brodhead, 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: 1902132376
- Provider Enumeration Date: 10/20/2009
- Last Update Date: 05/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850713025
- Enrollment ID: I20200616001672
Medical Identifiers
Medical identifiers for Benjamin Layne Eithun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902132376 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 5064 (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. Benjamin Layne Eithun allows following entities to bill medicare on his behalf.
Entity Name | University Of Wisconsin Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598784555 PECOS PAC ID: 6608785464 Enrollment ID: O20031111000435 |
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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. 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 Address | Practice 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 |
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