Dr Kent Gregory Brockmann, MD is a
Clinic/center - Mental Health (including Community Mental Health Center) physician based in Lake Elmo, Minnesota. Dr Kent Gregory Brockmann is licensed to practice in Minnesota (license number 44519) and his current practice location is 8673 Eagle Point Blvd, Lake Elmo, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 209-9383.
NPI number for Dr Kent Gregory Brockmann is 1245281823 and his current mailing address is 8673 Eagle Point Blvd, Lake Elmo, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245281823.
Physician's Profile
| Full Name | Dr Kent Gregory Brockmann |
|---|
| Gender | Male |
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| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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| Location | 8673 Eagle Point Blvd, Lake Elmo, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245281823
- Provider Enumeration Date: 05/16/2006
- Last Update Date: 06/25/2013
Medical Identifiers
Medical identifiers for Dr Kent Gregory Brockmann such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245281823 | NPI | - | NPPES |
| 087897900 | Medicaid | MN | |
| 273L3BR | Other | MN | BLUECROSS/BLUESHIELD MN |
| 15-45530 | Other | MN | MEDICA/UBH ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 44519 (Minnesota) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 44519 (Minnesota) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 48376-20 (Wisconsin) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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 Kent Gregory Brockmann is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kent Gregory Brockmann, MD
8673 Eagle Point Blvd,
Lake Elmo, MN 55042
Ph: (651) 209-9383 | Dr Kent Gregory Brockmann, MD
8673 Eagle Point Blvd,
Lake Elmo, MN 55042
Ph: (651) 209-9383 |
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