Robert Nolan Brackenrich, DO in Pooler, GA

Robert Nolan Brackenrich, DO is a medicare enrolled "Family Medicine" physician in Pooler, Georgia. His current practice location is 101 Saint Josephs Candler Dr Ste 200, Pooler, Georgia. You can reach out to his office (for appointments etc.) via phone at (912) 748-1999.

Robert Nolan Brackenrich is licensed to practice in Georgia (license number 97632) 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 1215559687.

Contact Information

	Robert Nolan Brackenrich, DO
	101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585
	(912) 748-1999
	Not Available

Map and Direction

Physician's Profile

Full Name	Robert Nolan Brackenrich
Gender	Male
Speciality	Family Medicine
Location	101 Saint Josephs Candler Dr Ste 200, Pooler, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215559687
Provider Enumeration Date: 05/08/2020
Last Update Date: 10/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2961825971
Enrollment ID: I20231218001680

Medical Identifiers

Medical identifiers for Robert Nolan Brackenrich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215559687	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	97632 (Georgia)	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. Robert Nolan Brackenrich allows following entities to bill medicare on his behalf.

Entity Name	Sjc Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811233828 PECOS PAC ID: 7719978105 Enrollment ID: O20040524000690

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. Robert Nolan Brackenrich 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
Robert Nolan Brackenrich, DO 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 Ph: (912) 748-1999	Robert Nolan Brackenrich, DO 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322-9585 Ph: (912) 748-1999

Reviews and Comments

Family Medicine Doctors in Pooler, GA

Dolores J Haviland-foley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847
Tia Bingham Vincent, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 Saint Josephs Candler Dr Ste 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-527-1002
Dr. Wesley Don Ensley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd Bldg 1200, Pooler, GA 31322 Phone: 912-748-2280 Fax: 912-748-4988
Lawrence F Zottoli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 St. Joseph Candler Drive, Suite 200, Pooler, GA 31322 Phone: 912-748-1999 Fax: 912-748-3847
Dr. Russell Lee Sliker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd Ste 701, Pooler, GA 31322 Phone: 912-748-2280 Fax: 912-748-4988
Dr. Michael Robert Cohen, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd, Suite 701, Pooler, GA 31322 Phone: 912-748-2280 Fax: 912-748-4988

Robert Nolan Brackenrich, DO - Medicare Family Medicine in Pooler, GA