Dr Mark A Brenzie, MD, MPH is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Hopewell, Virginia. His current practice location is
411 W Randolph Rd, Hopewell, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 414-0312.
Dr Mark A Brenzie is licensed to practice in Virginia (license number 0101238583) 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 1427023043.
Physician's Profile
| Full Name | Dr Mark A Brenzie |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 411 W Randolph Rd, Hopewell, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1427023043
- Provider Enumeration Date: 02/17/2006
- Last Update Date: 09/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 8921032046
- Enrollment ID: I20050919000742
Medical Identifiers
Medical identifiers for Dr Mark A Brenzie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427023043 | NPI | - | NPPES |
| 010211247 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 0101238583 (Virginia) | 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 Mark A Brenzie allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210226002383 |
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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 Mark A Brenzie 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 |
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Dr Mark A Brenzie, MD, MPH
4099 Basswood Rd,
Disputanta, VA 23842-4517
Ph: (804) 898-1850 | Dr Mark A Brenzie, MD, MPH
411 W Randolph Rd,
Hopewell, VA 23860-2938
Ph: (804) 414-0312 |
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