Brooke Janell Sport, LPC in San Angelo, TX - Medicare Counselor Provider

Brooke Janell Sport, LPC is a medicare enrolled "Counselor - Professional" provider in San Angelo, Texas. Her current practice location is 242 N Magdalen St, San Angelo, Texas. You can reach out to her office (for appointments etc.) via phone at (325) 944-2561.

Brooke Janell Sport is licensed to practice in Texas (license number 76574) 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 1548750995.

Contact Information

	Brooke Janell Sport, LPC
	242 N Magdalen St, San Angelo, TX 76903-5434
	(325) 944-2561
	(325) 653-4218

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Janell Sport
Gender	Female
Speciality	Counselor - Professional
Location	242 N Magdalen St, San Angelo, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548750995
Provider Enumeration Date: 05/11/2018
Last Update Date: 05/11/2018

Medicare PECOS Information:

PECOS PAC ID: 9638413305
Enrollment ID: I20240105000060

Medical Identifiers

Medical identifiers for Brooke Janell Sport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548750995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	76574 (Texas)	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. Brooke Janell Sport allows following entities to bill medicare on her behalf.

Entity Name	West Texas Counseling & Guidance Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093868267 PECOS PAC ID: 3870576937 Enrollment ID: O20040609001473

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. Brooke Janell Sport 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
Brooke Janell Sport, LPC 242 N Magdalen St, San Angelo, TX 76903-5434 Ph: (325) 944-2561	Brooke Janell Sport, LPC 242 N Magdalen St, San Angelo, TX 76903-5434 Ph: (325) 944-2561

Reviews and Comments

Counselor in San Angelo, TX

Joan Patricia Deming-combs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3821 High Meadow Dr, San Angelo, TX 76904 Phone: 325-212-4742
Vanessa Rae King, LPC-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-262-1982
Mr. Joshua Jibben, LCDC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 3553 W Houston Harte Expy, San Angelo, TX 76901 Phone: 325-224-7236
Savannah Torres, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 3131 Executive Dr, San Angelo, TX 76904 Phone: 325-947-5021
Mr. Bryan Mitchell Elliott, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Johnson Ave, San Angelo, TX 76904 Phone: 325-949-3701 Fax: 325-947-3585
Mr. Armando Dominguez, M.S., LPC Counselor Medicare: Medicare Enrolled Practice Location: 917 S Abe St, #b4, San Angelo, TX 76903 Phone: 325-650-0330 Fax: 866-652-9689
Stephanie Lynn Thomas, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10694 Twin Lakes Ln, San Angelo, TX 76904 Phone: 325-450-4954

Brooke Janell Sport, LPC - Medicare Counselor in San Angelo, TX