Dr Keely Annmarie Brouhard, OD - Medicare Optometrist in Indianapolis, IN

Dr Keely Annmarie Brouhard, OD is a medicare enrolled "Optometrist" provider in Indianapolis, Indiana. Her current practice location is 10777 E Washington St Ste A, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 897-0480.

Dr Keely Annmarie Brouhard is licensed to practice in Indiana (license number 18004408A) 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 1023794591.

Contact Information

Dr Keely Annmarie Brouhard, OD
10777 E Washington St Ste A,
Indianapolis, IN 46229-2642
(317) 897-0480
Not Available



Healthcare Provider's Profile

Full NameDr Keely Annmarie Brouhard
GenderFemale
SpecialityOptometrist
Location10777 E Washington St Ste A, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023794591
  • Provider Enumeration Date: 06/27/2023
  • Last Update Date: 06/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254790280
  • Enrollment ID: I20230707003189

Medical Identifiers

Medical identifiers for Dr Keely Annmarie Brouhard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023794591NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 18004408A (Indiana)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. Dr Keely Annmarie Brouhard allows following entities to bill medicare on her behalf.
Provider NameFirst Impressions Optometric Associates, Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083366363
PECOS PAC ID: 6800281825
Enrollment ID: O20220309002226

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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. Dr Keely Annmarie Brouhard 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
Dr Keely Annmarie Brouhard, OD
2477 S Woolery Mill Dr,
Bloomington, IN 47403-3266

Ph: (937) 631-5700
Dr Keely Annmarie Brouhard, OD
10777 E Washington St Ste A,
Indianapolis, IN 46229-2642

Ph: (317) 897-0480

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Optometrist in Indianapolis, IN

Eskenazi Health, Optical Shop
Optometrist
Medicare: Medicare Enrolled
Practice Location: 720 Eskenazi Ave., C6-104, Indianapolis, IN 46202
Phone: 317-880-8552    
Julia L Blank, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 4551 Sylvan Rd, Indianapolis, IN 46228
Phone: 317-329-8462    
Nhi Thi Tuyet Nguyen, OD
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 1901 N Meridian Street, Indianapolis, IN 46202
Phone: 317-925-2200    Fax: 317-921-0886
Gloria C Jennings, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 1717 W 86th St, Suite 130, Indianapolis, IN 46260
Phone: 317-876-1112    Fax: 317-876-2187
Arthur D Fisher, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 350 E New York St, Suite 250, Indianapolis, IN 46204
Phone: 317-634-8617    
Michael Schottman, O.D.
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 4200 S East St, Indianapolis, IN 46227
Phone: 217-821-5346    
Eskenazi Health Forest Manor Optometry & Optical
Optometrist
Medicare: Medicare Enrolled
Practice Location: 3840 N Sherman Dr Ste 150, Indianapolis, IN 46226
Phone: 317-880-8800    

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