Jacqueline Brom, MD - Medicare Family Practice in Beachwood, OH

Jacqueline Brom, MD is a medicare enrolled "Family Medicine" physician in Beachwood, Ohio. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2014 and has 10 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Intermountain Healthcare Services, Inc and her current practice location is 26900 Cedar Rd, Beachwood, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 839-3000.

Jacqueline Brom is licensed to practice in Ohio (license number 35135732) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366869497.

Contact Information

Jacqueline Brom, MD
26900 Cedar Rd,
Beachwood, OH 44122-1191
(216) 839-3000
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline Brom
GenderFemale
SpecialityFamily Practice
Experience10 Years
Location26900 Cedar Rd, Beachwood, Ohio
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Brom attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2014
  NPI Data:
  • NPI Number: 1366869497
  • Provider Enumeration Date: 03/26/2014
  • Last Update Date: 07/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3476858978
  • Enrollment ID: I20201203001342

Medical Identifiers

Medical identifiers for Jacqueline Brom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366869497NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 336.104842 (Illinois)Secondary
207Q00000XFamily Medicine 036143463 (Illinois)Secondary
207Q00000XFamily Medicine 35135732 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Utah Valley HospitalProvo, UTHospital
American Fork HospitalAmerican fork, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Jacqueline Brom allows following entities to bill medicare on her behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303

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. Jacqueline Brom 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 AddressPractice Location Address
Jacqueline Brom, MD
26900 Cedar Rd,
Beachwood, OH 44122-1191

Ph: () -
Jacqueline Brom, MD
26900 Cedar Rd,
Beachwood, OH 44122-1191

Ph: (216) 839-3000

Reviews and Comments


Family Medicine Doctors in Beachwood, OH

Dr. Barbara A Vizy, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3690 Orange Pl, Suite # 230, Beachwood, OH 44122
Phone: 216-765-1180    Fax: 216-765-1163
Dr. Richard M Garwood, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4200 Warrensville Center Rd, Suite 395, Beachwood, OH 44122
Phone: 216-491-7888    Fax: 216-491-7887
Young Shin Kim, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 26900 Cedar Rd Ste 22n, Beachwood, OH 44122
Phone: 216-839-3000    
Anam Butt, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 26900 Cedar Rd, Beachwood, OH 44122
Phone: 216-839-3000    
Erin Donnelle Jeffers, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 23214 Ranch Rd, Beachwood, OH 44122
Phone: 216-356-6550    
Sarah Roya Faizi, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1000 Auburn Dr Ste 110, Beachwood, OH 44122
Phone: 440-604-8965    
Dr. Joseph Chester Orzechowski, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 25700 Science Park Dr Ste 120, Beachwood, OH 44122
Phone: 216-672-0211    Fax: 978-645-6909

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.