Katrina Yvette Brooks, LCSW in Jacksonville, FL - Medicare Social Worker Provider

Katrina Yvette Brooks, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. Her current practice location is 25 University Blvd N, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 496-5245.

Katrina Yvette Brooks is licensed to practice in Florida (license number SW22431) 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 1588432470.

Contact Information

	Katrina Yvette Brooks, LCSW
	25 University Blvd N, Jacksonville, FL 32211-7550
	(904) 496-5245
	(904) 779-3309

Map and Direction

Healthcare Provider's Profile

Full Name	Katrina Yvette Brooks
Gender	Female
Speciality	Social Worker - Clinical
Location	25 University Blvd N, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588432470
Provider Enumeration Date: 12/19/2023
Last Update Date: 12/19/2023

Medicare PECOS Information:

PECOS PAC ID: 0446693428
Enrollment ID: I20240206004512

Medical Identifiers

Medical identifiers for Katrina Yvette Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588432470	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW22431 (Florida)	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. Katrina Yvette Brooks allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Katrina Yvette Brooks 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
Katrina Yvette Brooks, LCSW 6067 Fillyside Trl, Jacksonville, FL 32244-1882 Ph: (904) 831-4579	Katrina Yvette Brooks, LCSW 25 University Blvd N, Jacksonville, FL 32211-7550 Ph: (904) 496-5245

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Katrina Yvette Brooks, LCSW - Medicare Clinical Social Worker in Jacksonville, FL