Kendall Douglas Brooks, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Atlanta, Georgia. His current practice location is
3200 Downwood Cir Nw Ste 640-4, Atlanta, Georgia. You can reach out to his office (for appointments etc.) via phone at
(404) 778-7290.
Kendall Douglas Brooks is licensed to practice in * (Not Available) (license number ) 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 1043605249.
Physician's Profile
Full Name | Kendall Douglas Brooks |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3200 Downwood Cir Nw Ste 640-4, Atlanta, 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: 1043605249
- Provider Enumeration Date: 04/03/2015
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 5991004574
- Enrollment ID: I20221003001744
Medical Identifiers
Medical identifiers for Kendall Douglas Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043605249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 92572 (Georgia) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kendall Douglas Brooks allows following entities to bill medicare on his behalf.
Entity Name | Emergency Coverage Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1427005008 PECOS PAC ID: 3072412592 Enrollment ID: O20050411000056 |
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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. Kendall Douglas Brooks 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 |
Kendall Douglas Brooks, MD 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 Ph: (404) 778-7290 | Kendall Douglas Brooks, MD 3200 Downwood Cir Nw Ste 640-4, Atlanta, GA 30327-1610 Ph: (404) 778-7290 |
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