Nicholas Agen, - Medicare Chiropractor in Brookfield, WI

Nicholas Agen, is a medicare enrolled "Chiropractor" provider in Brookfield, Wisconsin. His current practice location is 17585 Golf Pkwy, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 899-7158.

Nicholas Agen is licensed to practice in Wisconsin (license number 5715-12) 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 1013669746.

Contact Information

Nicholas Agen,
17585 Golf Pkwy,
Brookfield, WI 53045-2948
(262) 899-7158
Not Available



Healthcare Provider's Profile

Full NameNicholas Agen
GenderMale
SpecialityChiropractor
Location17585 Golf Pkwy, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013669746
  • Provider Enumeration Date: 01/24/2022
  • Last Update Date: 01/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8022404615
  • Enrollment ID: I20220407001174

Medical Identifiers

Medical identifiers for Nicholas Agen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013669746NPI-NPPES
1295378875MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor 5715-12 (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. Nicholas Agen allows following entities to bill medicare on his behalf.
Provider NameLife Clinic Of Wi Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1295378875
PECOS PAC ID: 3779966213
Enrollment ID: O20220817000829

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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. Nicholas Agen 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
Nicholas Agen,
17585 Golf Pkwy,
Brookfield, WI 53045-2948

Ph: (262) 899-7158
Nicholas Agen,
17585 Golf Pkwy,
Brookfield, WI 53045-2948

Ph: (262) 899-7158

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Chiropractor in Brookfield, WI

Dr. Gregory Michael Blau, D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 14625 W Lisbon Rd, Brookfield, WI 53005
Phone: 262-783-5010    Fax: 262-783-9992
Mr. Paul Edward Ralston, DC
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 13730 W Greenfield Ave, Brookfield, WI 53005
Phone: 262-244-7600    
Ahead To Health, Llc
Chiropractor
Medicare: Not Enrolled in Medicare
Practice Location: 15400 W Capitol Dr, Suite 202, Brookfield, WI 53005
Phone: 262-754-1211    Fax: 262-754-2911
Dr. Renee M. Jacquette, D.C.
Chiropractor
Medicare: May Accept Medicare Assignments
Practice Location: 17040 W Greenfield Ave Ste 3, Brookfield, WI 53005
Phone: 414-930-2363    
Dr. Andrea Marie Lange, D.C.
Chiropractor
Medicare: Accepting Medicare Assignments
Practice Location: 16535 W Bluemound Rd, Suite 222, Brookfield, WI 53005
Phone: 262-754-4910    Fax: 262-754-4913
Christiansen Chiropractic, S.c.
Chiropractor
Medicare: Medicare Enrolled
Practice Location: 15010 W Greenfield Ave., Suite 100, Brookfield, WI 53005
Phone: 262-754-5500    Fax: 262-754-5501

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