Brooke Nicole Raney, FNP-C is a medicare enrolled "Dermatology" physician in Texarkana, Texas. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oliver Street 5.01(a) Inc and her current practice location is
4401 Corporate Dr, Texarkana, Texas. You can reach out to her office (for appointments etc.) via phone at
(903) 223-9911.
Brooke Nicole Raney is licensed to practice in Texas (license number AP136927) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033612585.
Physician's Profile
Full Name | Brooke Nicole Raney |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 7 Years |
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Location | 4401 Corporate Dr, Texarkana, Texas |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brooke Nicole Raney graduated from medical school in 2017
NPI Data:
- NPI Number: 1033612585
- Provider Enumeration Date: 03/12/2018
- Last Update Date: 06/14/2019
Medicare PECOS Information:
- PECOS PAC ID: 7315202488
- Enrollment ID: I20190627000129
Medical Identifiers
Medical identifiers for Brooke Nicole Raney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033612585 | NPI | - | NPPES |
AP136927 | Other | TX | TEXAS BOARD OF NURSING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | AP136927 (Texas) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Oliver Street 5.01(a) Inc | 0042464125 | 144 |
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 Nicole Raney allows following entities to bill medicare on her behalf.
Entity Name | Oliver Street 5.01(a) Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457695413 PECOS PAC ID: 0042464125 Enrollment ID: O20130128000189 |
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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 Nicole Raney 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 Nicole Raney, FNP-C 3515 Richmond Rd, Texarkana, TX 75503-0711 Ph: (903) 791-9355 | Brooke Nicole Raney, FNP-C 4401 Corporate Dr, Texarkana, TX 75503 Ph: (903) 223-9911 |
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