Kelsey Anne Brengman, PA-C - Medicare Physician Assistant in Roseville, MI

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Kelsey Anne Brengman, PA-C is a medicare enrolled "Physician Assistant" in Roseville, Michigan. She went to Wayne State University School Of Medicine and graduated in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Roseville Urgent Care Pc, Hoover Urgent Care Of Warren Pllc and her current practice location is 20769 E 13 Mile Rd, Roseville, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 872-2288.

Kelsey Anne Brengman is licensed to practice in Michigan (license number 5601009233) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1225695232.

Contact Information

Kelsey Anne Brengman, PA-C
20769 E 13 Mile Rd,
Roseville, MI 48066-4503
(586) 872-2288
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Anne Brengman
GenderFemale
SpecialityPhysician Assistant
Experience7 Years
Location20769 E 13 Mile Rd, Roseville, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelsey Anne Brengman attended and graduated from Wayne State University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1225695232
  • Provider Enumeration Date: 05/24/2019
  • Last Update Date: 05/21/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2365884699
  • Enrollment ID: I20240531001026

Medical Identifiers

Medical identifiers for Kelsey Anne Brengman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225695232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601009233 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Roseville Urgent Care Pc892128136121
Hoover Urgent Care Of Warren Pllc620407375238

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. Kelsey Anne Brengman allows following entities to bill medicare on her behalf.
Entity NameRoseville Urgent Care PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811297070
PECOS PAC ID: 8921281361
Enrollment ID: O20110323000384
Entity NameHoover Urgent Care of Warren PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821351610
PECOS PAC ID: 6204073752
Enrollment ID: O20130501000127
Entity NameGet Well Urgent Care Macomb PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073289013
PECOS PAC ID: 6204232176
Enrollment ID: O20210901002954
Entity NameGet Well Urgent Care Shelby PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033865464
PECOS PAC ID: 0749646412
Enrollment ID: O20230523000543

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. Kelsey Anne Brengman 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
Kelsey Anne Brengman, PA-C
614 Saint Charles Ct,
Royal Oak, MI 48067-1928

Ph: (313) 820-0926		Kelsey Anne Brengman, PA-C
20769 E 13 Mile Rd,
Roseville, MI 48066-4503

Ph: (586) 872-2288

Reviews and Comments


Physician Assistant Nurses in Roseville, MI

Joseph Philip Aluia, PA
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Danielle Yizze,
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Mr. Steven Robert Rogers, PA-C
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Phone: 734-464-0887    Fax: 734-402-0254
Michelle Kristine Kut, P.A.-C
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Practice Location: 25599 Kelly Rd, Suite A, Roseville, MI 48066
Phone: 586-772-6000    Fax: 586-772-7700

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.