Shelby Ann Brandsma, LCSW - Medicare Clinical Social Worker in West Bend, WI

Shelby Ann Brandsma, LCSW is a medicare enrolled "Social Worker - Clinical" provider in West Bend, Wisconsin. Her current practice location is 111 E Washington St, West Bend, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 338-2717.

Shelby Ann Brandsma is licensed to practice in Wisconsin (license number 9862-123) 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 1992458376.

Contact Information

Shelby Ann Brandsma, LCSW
111 E Washington St,
West Bend, WI 53095-2571
(262) 338-2717
Not Available



Healthcare Provider's Profile

Full NameShelby Ann Brandsma
GenderFemale
SpecialitySocial Worker - Clinical
Location111 E Washington St, West Bend, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992458376
  • Provider Enumeration Date: 01/27/2022
  • Last Update Date: 11/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8022403625
  • Enrollment ID: I20220317001541

Medical Identifiers

Medical identifiers for Shelby Ann Brandsma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992458376NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 9862-123 (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. Shelby Ann Brandsma allows following entities to bill medicare on her behalf.
Entity NameAffiliated Clinical Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851473698
PECOS PAC ID: 0244124899
Enrollment ID: O20040212000835

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› Verified 6 days ago

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. Shelby Ann Brandsma 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
Shelby Ann Brandsma, LCSW
N6631 Thompson Rd,
Beaver Dam, WI 53916-9411

Ph: (920) 296-0611
Shelby Ann Brandsma, LCSW
111 E Washington St,
West Bend, WI 53095-2571

Ph: (262) 338-2717

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CTA correctly detected the ruptured aneurysm in 170 cases when compared to intraoperative findings, Bijal Patel, MD, lead author of the study. Of the 22 cases where there was more than one aneurysm, CTA correctly identified the ones that were ruptured every time.

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Social Worker in West Bend, WI

Tiffany Dubey, LCSW, SAC-IT
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    
Mr. Mical Gustave Schaffer, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 400 W River Dr, West Bend, WI 53090
Phone: 262-338-2717    
Abby Louise Janssen, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    Fax: 262-338-9767
Diana Azimov, APSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1622 Chestnut St, West Bend, WI 53095
Phone: 262-306-9800    
Ryanne Beth Wendt, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 111 E Washington St, West Bend, WI 53095
Phone: 262-338-2717    
Mrs. Amy R. Schumann, LSCW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1622 Chestnut St, West Bend, WI 53095
Phone: 262-338-9498    
Stephanie Gudmunsen, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 333 E Washington St, Suite 2000, West Bend, WI 53095
Phone: 262-335-4545    Fax: 262-335-6827

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