Brooks W Booker Iv, MD in Bend, OR

Brooks W Booker Iv, MD is a medicare enrolled "Pediatrics" physician in Bend, Oregon. His current practice location is 1501 Ne Medical Center Dr, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-2811.

Brooks W Booker Iv is licensed to practice in Oregon (license number MD167654) 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 1376558429.

Contact Information

	Brooks W Booker Iv, MD
	1501 Ne Medical Center Dr, Bend, OR 97701-6051
	(541) 382-2811
	Not Available

Map and Direction

Physician's Profile

Full Name	Brooks W Booker Iv
Gender	Male
Speciality	Pediatrics
Location	1501 Ne Medical Center Dr, Bend, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376558429
Provider Enumeration Date: 07/29/2006
Last Update Date: 01/29/2021

Medicare PECOS Information:

PECOS PAC ID: 7012946940
Enrollment ID: I20140828000080

Medical Identifiers

Medical identifiers for Brooks W Booker Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376558429	NPI	-	NPPES
11057533	Other	OR	CAQH
500672815	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD167654 (Oregon)	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. Brooks W Booker Iv allows following entities to bill medicare on his behalf.

Entity Name	Bend Memorial Clinic Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699827477 PECOS PAC ID: 7214936533 Enrollment ID: O20061215000022

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. Brooks W Booker Iv 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
Brooks W Booker Iv, MD Po Box 6048, Bend, OR 97708-6048 Ph: (541) 382-2811	Brooks W Booker Iv, MD 1501 Ne Medical Center Dr, Bend, OR 97701-6051 Ph: (541) 382-2811

Reviews and Comments

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Brooks W Booker Iv, MD - Medicare Pediatrics in Bend, OR