Dr Alice Cantwell Brock-utne, MD in Greenbrae, CA

Dr Alice Cantwell Brock-utne, MD is a medicare enrolled "Pediatrics" physician in Greenbrae, California. Her current practice location is 250 Bon Air Rd, Greenbrae, California. You can reach out to her office (for appointments etc.) via phone at (415) 448-1500.

Dr Alice Cantwell Brock-utne is licensed to practice in California (license number A89825) 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 1194802512.

Contact Information

	Dr Alice Cantwell Brock-utne, MD
	250 Bon Air Rd, Greenbrae, CA 94904-1702
	(415) 448-1500
	(415) 461-4229

Map and Direction

Physician's Profile

Full Name	Dr Alice Cantwell Brock-utne
Gender	Female
Speciality	Pediatrics
Location	250 Bon Air Rd, Greenbrae, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194802512
Provider Enumeration Date: 11/01/2006
Last Update Date: 12/10/2018

Medicare PECOS Information:

PECOS PAC ID: 8628291069
Enrollment ID: I20140603001707

Medical Identifiers

Medical identifiers for Dr Alice Cantwell Brock-utne such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194802512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A89825 (California)	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. Dr Alice Cantwell Brock-utne allows following entities to bill medicare on her behalf.

Entity Name	John Muir Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143

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. Dr Alice Cantwell Brock-utne 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
Dr Alice Cantwell Brock-utne, MD 300 Professional Center Dr, Suite 311, Novato, CA 94947-4334 Ph: (415) 448-1555	Dr Alice Cantwell Brock-utne, MD 250 Bon Air Rd, Greenbrae, CA 94904-1702 Ph: (415) 448-1500

Reviews and Comments

Pediatrics Doctors in Greenbrae, CA

Mrs. Kara Suzanne Ornstein, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 Phone: 415-461-8828 Fax: 415-461-3772
Andrew Chapman Saxon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-925-7592 Fax: 415-925-7009
Ms. Jane Marten Meill, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1100 South Eliseo Dr, Ste #106, Greenbrae, CA 94904 Phone: 415-461-8828 Fax: 415-461-3772
Mrs. Judith Mary Flannery, P.N.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 250 Bon Air Rd, Greenbrae, CA 94904 Phone: 415-448-1500 Fax: 415-461-4229
Martin Joffe, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1000 S Eliseo Dr, Suite 1a, Greenbrae, CA 94904 Phone: 415-461-5436
Michelle Dominique Perro, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1350 S Eliseo Dr, Suite 120, Greenbrae, CA 94904 Phone: 415-451-9476 Fax: 415-451-4977

Dr Alice Cantwell Brock-utne, MD - Medicare Pediatrics in Greenbrae, CA