Mr Eric Brotherton, in Tampa, FL - Medicare Counselor Provider

Mr Eric Brotherton, is a medicare enrolled "Counselor - Mental Health" provider in Tampa, Florida. His current practice location is 12512 Bruce B Downs Blvd, Tampa, Florida. You can reach out to his office (for appointments etc.) via phone at (813) 977-8700.

Mr Eric Brotherton is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114349933.

Contact Information

	Mr Eric Brotherton,
	12512 Bruce B Downs Blvd, Tampa, FL 33612-9209
	(813) 977-8700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Eric Brotherton
Gender	Male
Speciality	Counselor - Mental Health
Location	12512 Bruce B Downs Blvd, Tampa, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114349933
Provider Enumeration Date: 01/14/2014
Last Update Date: 09/29/2014

Medicare PECOS Information:

PECOS PAC ID: 6507215407
Enrollment ID: I20231216000383

Medical Identifiers

Medical identifiers for Mr Eric Brotherton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114349933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Mr Eric Brotherton allows following entities to bill medicare on his behalf.

Entity Name	Northside Behavioral Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669498002 PECOS PAC ID: 9931187911 Enrollment ID: O20040708000284

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. Mr Eric Brotherton 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
Mr Eric Brotherton, 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 Ph: (813) 977-8700	Mr Eric Brotherton, 12512 Bruce B Downs Blvd, Tampa, FL 33612-9209 Ph: (813) 977-8700

Reviews and Comments

Counselor in Tampa, FL

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Mr Eric Brotherton, - Medicare Counselor in Tampa, FL