Carol Lynn Brokschmidt, MD - Medicare Obstetrics & Gynecology in Fort Defiance, AZ

Carol Lynn Brokschmidt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Defiance, Arizona. Her current practice location is Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8757.

Carol Lynn Brokschmidt is licensed to practice in Arizona (license number 19747) 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 1124104112.

Contact Information

Carol Lynn Brokschmidt, MD
Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital,
Fort Defiance, AZ 86504
(928) 729-8757
Not Available

Map and Direction




Physician's Profile

Full NameCarol Lynn Brokschmidt
GenderFemale
SpecialityObstetrics & Gynecology
LocationCorner Of Rt. N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124104112
  • Provider Enumeration Date: 10/31/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2062483456
  • Enrollment ID: I20040731000376

Medical Identifiers

Medical identifiers for Carol Lynn Brokschmidt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124104112NPI-NPPES
19747OtherAZLICENSE
893356OtherAZAHCCCS
52424553MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 19747 (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. Carol Lynn Brokschmidt allows following entities to bill medicare on her behalf.
Entity NameNorthbay Healthcare Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821147786
PECOS PAC ID: 0042122244
Enrollment ID: O20031105000409

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. Carol Lynn Brokschmidt 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 AddressPractice Location Address
Carol Lynn Brokschmidt, MD
9522 E Minton St,
Mesa, AZ 85207-2538

Ph: (480) 354-8766
Carol Lynn Brokschmidt, MD
Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital,
Fort Defiance, AZ 86504

Ph: (928) 729-8757

Reviews and Comments


Obstetrics & Gynecology Doctors in Fort Defiance, AZ

Dr. Michael Ihsaan, MD MPH
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: Corner Of Rt N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Dr. Scott Shin, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Fort Defiance Phs Hospital, Corner Of Route N12 & N7, Fort Defiance, AZ 86504
Phone: 928-729-8770    
Claude Clayton Perkins, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Carl Theodore Opderbeck, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: Route 7 And Route 12, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504
Phone: 928-729-8020    Fax: 828-729-8794
Kathleen Cohen,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Ms. Beth Vermont, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.