Brendan Blackwelder, in West Bend, WI - Medicare Certified Registered Nurse Anesthetist (crna)

Brendan Blackwelder, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in West Bend, Wisconsin. He graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Racine Anesthesia Services Llc and his current practice location is 3200 Pleasant Valley Rd, West Bend, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 836-7300.

Brendan Blackwelder is licensed to practice in Wisconsin (license number 6803) 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 1902279474.

Contact Information

	Brendan Blackwelder,
	3200 Pleasant Valley Rd, West Bend, WI 53095-9274
	(262) 836-7300
	(262) 836-7301

Map and Direction

Provider's Profile

Full Name	Brendan Blackwelder
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	9 Years
Location	3200 Pleasant Valley Rd, West Bend, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brendan Blackwelder graduated from nursing school in 2016

NPI Data:

NPI Number: 1902279474
Provider Enumeration Date: 11/05/2015
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 4981907011
Enrollment ID: I20160125001137

Medical Identifiers

Medical identifiers for Brendan Blackwelder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902279474	NPI	-	NPPES
1902279474	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	6803 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension All Saints Hospital	Racine, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Racine Anesthesia Services Llc	8628103777	68

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. Brendan Blackwelder allows following entities to bill medicare on his behalf.

Entity Name	The Medical College Of Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259

Entity Name	Racine Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467782748 PECOS PAC ID: 8628103777 Enrollment ID: O20100316000106

Entity Name	Metro Milwaukee Anesthesia Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609130228 PECOS PAC ID: 3577780683 Enrollment ID: O20140814000066

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. Brendan Blackwelder 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
Brendan Blackwelder, 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300	Brendan Blackwelder, 3200 Pleasant Valley Rd, West Bend, WI 53095-9274 Ph: (262) 836-7300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in West Bend, WI

Mr. Matthew R Mueller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Kari L Chakrabarti, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Kristen N Burg, APNP, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Mr. Benjamin T Skubal, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Kerrie Lynn Goza, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Calli Lemke, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3200 Pleasant Valley Rd, West Bend, WI 53095 Phone: 262-836-7300 Fax: 262-836-7301
Lynne M Krebs, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 661 S Silverbrook Dr, West Bend, WI 53095 Phone: 262-335-0533

Brendan Blackwelder, - Medicare Certified Registered Nurse Anesthetist (crna) in West Bend, WI