Brad L Ecklor, PA-C is a medicare enrolled "Physician Assistant" in Boscobel, Wisconsin. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Memorial Hospital Of Boscobel and his current practice location is
208 Parker St, Boscobel, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 375-4144.
Brad L Ecklor is licensed to practice in * (Not Available) (license number 3796-23) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1801248059.
Provider's Profile
| Full Name | Brad L Ecklor |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 208 Parker St, Boscobel, Wisconsin |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brad L Ecklor graduated from nursing school in 2016
NPI Data:
- NPI Number: 1801248059
- Provider Enumeration Date: 07/11/2016
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204121247
- Enrollment ID: I20160830000367
Medical Identifiers
Medical identifiers for Brad L Ecklor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801248059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 3796-23 (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Memorial Hospital Of Boscobel | 8325957673 | 33 |
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. Brad L Ecklor allows following entities to bill medicare on his behalf.
| Entity Name | Memorial Hospital of Boscobel |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20040115000725 |
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| Entity Name | St Joseph's Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104031798
PECOS PAC ID: 3971586439
Enrollment ID: O20040615000273 |
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| Entity Name | Memorial Hospital of Boscobel |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1760459846
PECOS PAC ID: 8325957673
Enrollment ID: O20101008000082 |
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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. Brad L Ecklor 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 |
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Brad L Ecklor, PA-C
100 Viking St,
Coon Valley, WI 54623-8338
Ph: (608) 498-0448 | Brad L Ecklor, PA-C
208 Parker St,
Boscobel, WI 53805-1648
Ph: (608) 375-4144 |
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