Rose I Brakke, AUD is a medicare enrolled "Audiologist" provider in West Fargo, North Dakota. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Heartland Hearing Professionals Pllc and her current practice location is
3139 Blue Stem Dr Ste 108, West Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 639-4595.
Rose I Brakke is licensed to practice in North Dakota (license number 989) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023297348.
Healthcare Provider's Profile
| Full Name | Rose I Brakke |
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| Gender | Female |
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| Speciality | Qualified Audiologist |
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| Experience | 20 Years |
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| Location | 3139 Blue Stem Dr Ste 108, West Fargo, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Rose I Brakke graduated from medical school in 2004
NPI Data:
- NPI Number: 1023297348
- Provider Enumeration Date: 11/02/2007
- Last Update Date: 01/05/2017
Medicare PECOS Information:
- PECOS PAC ID: 3870681935
- Enrollment ID: I20071127000146
Medical Identifiers
Medical identifiers for Rose I Brakke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023297348 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 989 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Heartland Hearing Professionals Pllc | 2961786041 | 2 |
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. Rose I Brakke allows following entities to bill medicare on her behalf.
| Provider Name | Catalyst Medical Center Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1043378268
PECOS PAC ID: 5395776967
Enrollment ID: O20050823000867 |
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| Provider Name | Heartland Hearing Professionals Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1922542919
PECOS PAC ID: 2961786041
Enrollment ID: O20170309001509 |
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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. Rose I Brakke 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 Address | Practice Location Address |
|---|
Rose I Brakke, AUD
3139 Blue Stem Dr Ste 108,
West Fargo, ND 58078-8060
Ph: (701) 639-4595 | Rose I Brakke, AUD
3139 Blue Stem Dr Ste 108,
West Fargo, ND 58078-8060
Ph: (701) 639-4595 |
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