Dr Elizabeth Anne Seagraves Brooke, MD is a medicare enrolled "Pediatrics" physician in Fort Oglethorpe, Georgia. Her current practice location is
26 Parkway Dr, Fort Oglethorpe, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 956-2846.
Dr Elizabeth Anne Seagraves Brooke is licensed to practice in Tennessee (license number 65880) 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 1386179513.
Physician's Profile
Full Name | Dr Elizabeth Anne Seagraves Brooke |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 26 Parkway Dr, Fort Oglethorpe, Georgia |
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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: 1386179513
- Provider Enumeration Date: 04/25/2017
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709134471
- Enrollment ID: I20230331000305
Medical Identifiers
Medical identifiers for Dr Elizabeth Anne Seagraves Brooke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386179513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 96514 (Georgia) | Secondary |
208000000X | Pediatrics | 65880 (Tennessee) | Primary |
208000000X | Pediatrics | 45942 (Alabama) | Secondary |
208000000X | Pediatrics | 96514 (Georgia) | Secondary |
208000000X | Pediatrics | 30703 (Mississippi) | Secondary |
208D00000X | General Practice | 65880 (Tennessee) | Secondary |
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 Anne Seagraves Brooke allows following entities to bill medicare on her behalf.
Entity Name | Afc Physicians Of Tennessee Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114234523 PECOS PAC ID: 5395924823 Enrollment ID: O20110128000880 |
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Entity Name | Urgent Care For Children, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1205434420 PECOS PAC ID: 0941613871 Enrollment ID: O20210113001648 |
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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 Anne Seagraves Brooke 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 Anne Seagraves Brooke, MD 1740 Kirby Ave, Chattanooga, TN 37404-3523 Ph: (336) 953-1293 | Dr Elizabeth Anne Seagraves Brooke, MD 26 Parkway Dr, Fort Oglethorpe, GA 30742-4248 Ph: (706) 956-2846 |
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