Brooke Shivon Sankiewicz, is a medicare enrolled "Social Worker" provider in Waterford, Michigan. Her current practice location is
279 Summit Dr, Waterford, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 409-4170.
Brooke Shivon Sankiewicz is licensed to practice in Michigan (license number 6802086459) 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 1235653544.
Healthcare Provider's Profile
Full Name | Brooke Shivon Sankiewicz |
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Gender | Female |
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Speciality | Social Worker |
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Location | 279 Summit Dr, Waterford, 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: 1235653544
- Provider Enumeration Date: 07/28/2017
- Last Update Date: 08/15/2017
Medicare PECOS Information:
- PECOS PAC ID: 0840696357
- Enrollment ID: I20210909000330
Medical Identifiers
Medical identifiers for Brooke Shivon Sankiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235653544 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 2-01377 (Michigan) | Secondary |
104100000X | Social Worker | 6802086459 (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. Brooke Shivon Sankiewicz allows following entities to bill medicare on her behalf.
Entity Name | County Of Lapeer |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275585929 PECOS PAC ID: 4183533193 Enrollment ID: O20040504000440 |
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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. Brooke Shivon Sankiewicz 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 Shivon Sankiewicz, 279 Summit Dr, Waterford, MI 48328-3364 Ph: () - | Brooke Shivon Sankiewicz, 279 Summit Dr, Waterford, MI 48328 Ph: (248) 409-4170 |
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