Brandon Lee Mondfrans, PA-C is a medicare enrolled "Physician Assistant" in Monroe, Ohio. His current practice location is
262 N Main St, Monroe, Ohio. You can reach out to his office (for appointments etc.) via phone at
(513) 461-2273.
Brandon Lee Mondfrans is licensed to practice in Ohio (license number 50.007424RX) 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 1871896555.
Provider's Profile
| Full Name | Brandon Lee Mondfrans |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 262 N Main St, Monroe, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1871896555
- Provider Enumeration Date: 12/17/2010
- Last Update Date: 08/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557762168
- Enrollment ID: I20220624001281
Medical Identifiers
Medical identifiers for Brandon Lee Mondfrans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871896555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA14381 (Texas) | Secondary |
| 363A00000X | Physician Assistant | 50.007424RX (Ohio) | Primary |
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. Brandon Lee Mondfrans 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 |
Brandon Lee Mondfrans, PA-C 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (210) 539-9582 | Brandon Lee Mondfrans, PA-C 262 N Main St, Monroe, OH 45050-1236 Ph: (513) 461-2273 |
Reviews and Comments