Brooke A Fenneman, RD in Indianapolis, IN - Medicare Dietitian, Registered Provider

Brooke A Fenneman, RD is a medicare enrolled "Dietitian, Registered" provider in Indianapolis, Indiana. Her current practice location is 7240 Shadeland Sta Ste 200, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 621-2677.

Brooke A Fenneman is licensed to practice in Indiana (license number 37002005A) 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 1669131850.

Contact Information

	Brooke A Fenneman, RD
	7240 Shadeland Sta Ste 200, Indianapolis, IN 46256-3968
	(317) 621-2677
	(317) 621-2676

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke A Fenneman
Gender	Female
Speciality	Dietitian, Registered
Location	7240 Shadeland Sta Ste 200, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669131850
Provider Enumeration Date: 12/15/2021
Last Update Date: 05/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9335506740
Enrollment ID: I20230530002988

Medical Identifiers

Medical identifiers for Brooke A Fenneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669131850	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	964543 (Indiana)	Secondary
133V00000X	Dietitian, Registered	37002005A (Indiana)	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 A Fenneman allows following entities to bill medicare on her behalf.

Provider Name	Community Physicians Of Indiana Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717

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 A Fenneman 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 A Fenneman, RD 6626 E 75th St Ste 500, Indianapolis, IN 46250-2890 Ph: () -	Brooke A Fenneman, RD 7240 Shadeland Sta Ste 200, Indianapolis, IN 46256-3968 Ph: (317) 621-2677

Reviews and Comments

Dietitian, Registered in Indianapolis, IN

Ms. Nicole Michelle Pirau, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5230 E Stop 11 Rd Ste A, Indianapolis, IN 46237 Phone: 317-851-3697
Tracy Ann Whitaker, MA, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7287
Mrs. Lauren Gunn, RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-5625
James David Middleton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 765-635-8310
April Kleber, RD Dietitian Medicare: Medicare Enrolled Practice Location: 7240 Shadeland Sta Ste 200, Indianapolis, IN 46256 Phone: 317-621-2677 Fax: 317-621-2676
Mrs. Laura Marie Schnur, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7287
Ms. Emily J Dawkins, MS RD CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1002 W 10th St, Indianapolis, IN 46202 Phone: 317-541-3431

Brooke A Fenneman, RD - Medicare Dietitian in Indianapolis, IN