Dr Elizabeth Brackbill, MD is a medicare enrolled "General Practice" physician in Leesport, Pennsylvania. Her current practice location is
1011 Berk Rd, Leesport, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 376-4841.
Dr Elizabeth Brackbill is licensed to practice in Pennsylvania (license number MD024684E) 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 1720118268.
Physician's Profile
Full Name | Dr Elizabeth Brackbill |
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Gender | Female |
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Speciality | General Practice |
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Location | 1011 Berk Rd, Leesport, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1720118268
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 10/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 6002074275
- Enrollment ID: I20120220000129
Medical Identifiers
Medical identifiers for Dr Elizabeth Brackbill such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720118268 | NPI | - | NPPES |
MD024684E | Other | PA | LICENSE NUMBER |
0992727 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | MD024684E (Pennsylvania) | 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 Elizabeth Brackbill allows following entities to bill medicare on her behalf.
Entity Name | Heim Staff Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831217314 PECOS PAC ID: 7719963826 Enrollment ID: O20040629000434 |
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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. Dr Elizabeth Brackbill 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 Elizabeth Brackbill, MD 602 Wyomissing Blvd, Wyomissing, PA 19610-2268 Ph: (610) 378-9449 | Dr Elizabeth Brackbill, MD 1011 Berk Rd, Leesport, PA 19533-8705 Ph: (610) 376-4841 |
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