Jacqueline Elaine Brecht, MD is a medicare enrolled "Urology" physician in East Longmeadow, Massachusetts. Her current practice location is
40 Crane Ave, East Longmeadow, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 318-4670.
Jacqueline Elaine Brecht is licensed to practice in Massachusetts (license number 238159) 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 1205889102.
Physician's Profile
Full Name | Jacqueline Elaine Brecht |
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Gender | Female |
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Speciality | Urology |
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Location | 40 Crane Ave, East Longmeadow, Massachusetts |
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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: 1205889102
- Provider Enumeration Date: 05/19/2006
- Last Update Date: 03/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 1557346202
- Enrollment ID: I20090203000184
Medical Identifiers
Medical identifiers for Jacqueline Elaine Brecht such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205889102 | NPI | - | NPPES |
MD5275 | Medicaid | AK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | 238159 (Massachusetts) | 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. Jacqueline Elaine Brecht allows following entities to bill medicare on her behalf.
Entity Name | Pioneer Valley Urology, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750315982 PECOS PAC ID: 7214972207 Enrollment ID: O20050621000419 |
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Entity Name | Emerson Practice Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
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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. Jacqueline Elaine Brecht 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 |
Jacqueline Elaine Brecht, MD 40 Crane Ave, East Longmeadow, MA 01028-2335 Ph: (413) 318-4670 | Jacqueline Elaine Brecht, MD 40 Crane Ave, East Longmeadow, MA 01028-2335 Ph: (413) 318-4670 |
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