Dylan Bray, AA - Medicare Anesthesiologist Assistant in Brookfield, WI

Dylan Bray, AA is a medicare enrolled "Anesthesiologist Assistant" in Brookfield, Wisconsin. His current practice location is 225 S Executive Dr, Brookfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 770-0908.

Dylan Bray is licensed to practice in Wisconsin (license number 82-17) 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 1790135457.

Contact Information

Dylan Bray, AA
225 S Executive Dr,
Brookfield, WI 53005-4257
(608) 770-0908
Not Available



Provider's Profile

Full NameDylan Bray
GenderMale
SpecialityAnesthesiologist Assistant
Location225 S Executive Dr, Brookfield, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790135457
  • Provider Enumeration Date: 06/14/2016
  • Last Update Date: 06/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9739474438
  • Enrollment ID: I20160819000626

Medical Identifiers

Medical identifiers for Dylan Bray such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790135457NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant 82-17 (Wisconsin)Primary
367H00000XAnesthesiologist Assistant ANT.0000131 (Colorado)Secondary

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. Dylan Bray allows following entities to bill medicare on his behalf.
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725

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Entity NameMadison Anesthesiology Consultants, Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669550711
PECOS PAC ID: 5193700342
Enrollment ID: O20040622000357

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Entity NameColumbia St Marys Hospital Milwaukee Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073832218
PECOS PAC ID: 5890604722
Enrollment ID: O20101101000597

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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. Dylan Bray 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
Dylan Bray, AA
2135 N Lake Dr,
Milwaukee, WI 53202-1334

Ph: () -
Dylan Bray, AA
225 S Executive Dr,
Brookfield, WI 53005-4257

Ph: (608) 770-0908

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PeriodonticsLosAngeles.com is a website created by a Los Angeles periodontist. The website is dedicated to helping you learn about periodontal disease so you can prevent it, or identify and treat the condition early, before it causes tooth loss or other major health problems.

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› Verified 3 days ago


Anesthesiologist Assistant Nurses in Brookfield, WI

Tia Covington Harris, AA-C
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 225 S Executive Dr, Brookfield, WI 53005
Phone: 262-787-6758    
Mr. Justin Matthew Kitson, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 225 S Executive Dr, Brookfield, WI 53005
Phone: 262-787-6758    

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