Jacob A Brown, RD in Avondale, AZ - Medicare Dietitian, Registered Provider

Jacob A Brown, RD is a medicare enrolled "Dietitian, Registered" provider in Avondale, Arizona. His current practice location is 10750 W Mcdowell Rd Ste A300, Avondale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 399-6825.

Jacob A Brown is licensed to practice in Arizona (license number 86096755) 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 1972073856.

Contact Information

	Jacob A Brown, RD
	10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963
	(623) 399-6825
	(623) 505-3474

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob A Brown
Gender	Male
Speciality	Dietitian, Registered
Location	10750 W Mcdowell Rd Ste A300, Avondale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972073856
Provider Enumeration Date: 12/04/2018
Last Update Date: 12/04/2018

Medicare PECOS Information:

PECOS PAC ID: 6002153319
Enrollment ID: I20190124001962

Medical Identifiers

Medical identifiers for Jacob A Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972073856	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	86096755 (Arizona)	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. Jacob A Brown allows following entities to bill medicare on his behalf.

Provider Name	Am Nutrition Services
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1003011602 PECOS PAC ID: 1254430580 Enrollment ID: O20070627000063

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. Jacob A Brown 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
Jacob A Brown, RD 18001 N 79th Ave Ste A12, Glendale, AZ 85308-8398 Ph: (623) 399-6825	Jacob A Brown, RD 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392-5963 Ph: (623) 399-6825

Reviews and Comments

Dietitian, Registered in Avondale, AZ

Haley Mollhagen, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825
Jacqueline Badine, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1513 S 121st Dr, Avondale, AZ 85323 Phone: 602-770-5086
Krupa Mathew Chackalackal, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Diana Mrozek, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Maddalyn Deitchman, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Hannah Lacey, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 10750 W Mcdowell Rd Ste A300, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474
Mia Tomasula, RD Dietitian Medicare: Medicare Enrolled Practice Location: 10825 W Mcdowell Rd Ste 220, Avondale, AZ 85392 Phone: 623-399-6825 Fax: 623-505-3474

Jacob A Brown, RD - Medicare Dietitian in Avondale, AZ