Nolan R Brooksby, DO is a medicare enrolled "Emergency Medicine" physician in Vernal, Utah. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Hospitalist Medicine Physicians Of Utah - Tcg, Llc and his current practice location is
151 W 200 N, Vernal, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 789-3342.
Nolan R Brooksby is licensed to practice in Utah (license number 5611703-1204) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1912949603.
Physician's Profile
| Full Name | Nolan R Brooksby |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 23 Years |
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| Location | 151 W 200 N, Vernal, Utah |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nolan R Brooksby graduated from medical school in 2001
NPI Data:
- NPI Number: 1912949603
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 04/15/2010
Medicare PECOS Information:
- PECOS PAC ID: 3678541737
- Enrollment ID: I20040917000316
Medical Identifiers
Medical identifiers for Nolan R Brooksby such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912949603 | NPI | - | NPPES |
| P00187532 | Other | UT | RAILROAD MEDICARE |
| D5681 | Medicaid | UT | |
| 56117031200001 | Other | UT | BC/BS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 55611703-1204 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | 5611703-1204 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hospitalist Medicine Physicians Of Utah - Tcg, Llc | 7719366186 | 5 |
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. Nolan R Brooksby allows following entities to bill medicare on his behalf.
| Entity Name | The Er Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508967688
PECOS PAC ID: 3971605817
Enrollment ID: O20070223000645 |
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| Entity Name | Hospitalist Medicine Physicians Of Utah - Tcg, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093294563
PECOS PAC ID: 7719366186
Enrollment ID: O20220615003338 |
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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. Nolan R Brooksby 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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Nolan R Brooksby, DO
150 W 100 N,
Vernal, UT 84078-2036
Ph: () - | Nolan R Brooksby, DO
151 W 200 N,
Vernal, UT 84078-1907
Ph: (435) 789-3342 |
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