Ms J Phyllis Brannen, LCSW, CAP is a medicare enrolled "Social Worker - Clinical" provider in Melbourne, Florida. Her current practice location is
1503 Pine St, Melbourne, Florida. You can reach out to her office (for appointments etc.) via phone at
(321) 953-3225.
Ms J Phyllis Brannen is licensed to practice in Florida (license number SW6239) 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 1003993874.
Healthcare Provider's Profile
| Full Name | Ms J Phyllis Brannen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1503 Pine St, Melbourne, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003993874
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 11/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 2365545118
- Enrollment ID: I20070315000090
Medical Identifiers
Medical identifiers for Ms J Phyllis Brannen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003993874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAP 2553 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW6239 (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. Ms J Phyllis Brannen allows following entities to bill medicare on her behalf.
| Entity Name | A Counseling Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295848703
PECOS PAC ID: 5395781488
Enrollment ID: O20050629000272 |
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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. Ms J Phyllis Brannen 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 |
|---|
Ms J Phyllis Brannen, LCSW, CAP
146 San Juan Cir,
Melbourne, FL 32935-5419
Ph: (321) 255-5426 | Ms J Phyllis Brannen, LCSW, CAP
1503 Pine St,
Melbourne, FL 32901-3120
Ph: (321) 953-3225 |
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