Carlene J Brockert, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Leonard, Michigan. Her current practice location is
450 Brewer Rd, Leonard, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 944-4790.
Carlene J Brockert is licensed to practice in Michigan (license number 6801092855) 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 1053882118.
Healthcare Provider's Profile
Full Name | Carlene J Brockert |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 450 Brewer Rd, Leonard, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053882118
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 01/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 3173938826
- Enrollment ID: I20210211000118
Medical Identifiers
Medical identifiers for Carlene J Brockert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053882118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801092855 (Michigan) | 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. Carlene J Brockert allows following entities to bill medicare on her behalf.
Entity Name | Caring Connections Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093594913 PECOS PAC ID: 5890145999 Enrollment ID: O20240102003432 |
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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. Carlene J Brockert 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 |
Carlene J Brockert, LMSW 22309 Mylls St, Saint Clair Shores, MI 48081-1342 Ph: (586) 944-4790 | Carlene J Brockert, LMSW 450 Brewer Rd, Leonard, MI 48367-4008 Ph: (586) 944-4790 |
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