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Brandon John Bachert

Radiology

Allopathic & Osteopathic Physicians

100 N Academy Ave, Danville, PA 17822-2434

PECOS Enrollment

This provider is enrolled in PECOS as BRANDON BACHERT.

Based on the most recent information from CMS, provider Brandon John Bachert is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1164866471
Provider Type
Individual
Full Name
Bachert, Brandon John
Title
Mr.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/18/2013
Last Updated
10/18/2021

Contact Information

Practice Location

100 N Academy Ave, Danville, PA 17822-2434

(570) 271-6301

(570) 271-5976

Mailing Location

100 N Academy Ave, Danville, PA 17822-4903

(570) 271-6144

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License MD465442 Pennsylvania
Code 2085B0100X	Description Radiology Allopathic & Osteopathic Physicians	License MD465442 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 103321700	Description Medicaid	Issuer Unlisted Pennsylvania

Brandon John Bachert

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Dileo, Jeffrey Noble

Go, Bernard-Dennis M.

Nickles, Thomas P.

Chudow, Clara Jean

Rosica, Dillenia

Gabe, Michael

Strickland, Mary L.

Conca, Dominick M.

Pitzen, Joshua Nicholas

Jubang, Michael Jeremy