Roxanne Brault, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Franklin, Wisconsin. Her current practice location is
7929 S 66th St, Franklin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 425-2191.
Roxanne Brault is licensed to practice in Wisconsin (license number 67930-30) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831537679.
Provider's Profile
| Full Name | Roxanne Brault |
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| Gender | Female |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 7929 S 66th St, Franklin, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831537679
- Provider Enumeration Date: 06/13/2013
- Last Update Date: 06/13/2013
Medicare PECOS Information:
- PECOS PAC ID: 6608017231
- Enrollment ID: I20130724000884
Medical Identifiers
Medical identifiers for Roxanne Brault such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831537679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 67930-30 (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. Roxanne Brault allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Partners Services SC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861810947
PECOS PAC ID: 4082832514
Enrollment ID: O20140826000757 |
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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. Roxanne Brault 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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Roxanne Brault,
7929 S 66th St,
Franklin, WI 53132-9281
Ph: (414) 425-2191 | Roxanne Brault,
7929 S 66th St,
Franklin, WI 53132-9281
Ph: (414) 425-2191 |
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