Belinda Brokke, in Salt Lake City, UT - Medicare Nurse Practitioner

Belinda Brokke, is a medicare enrolled "Nurse Practitioner - Acute Care" in Salt Lake City, Utah. Her current practice location is 50 N Medical Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 581-2121.

Belinda Brokke is licensed to practice in Utah (license number 6067126-4405) 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 1750768842.

Contact Information

	Belinda Brokke,
	50 N Medical Dr, Salt Lake City, UT 84132-0001
	(801) 581-2121
	Not Available

Map and Direction

Provider's Profile

Full Name	Belinda Brokke
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	50 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750768842
Provider Enumeration Date: 04/28/2015
Last Update Date: 04/28/2015

Medicare PECOS Information:

PECOS PAC ID: 3072825868
Enrollment ID: I20151209002472

Medical Identifiers

Medical identifiers for Belinda Brokke such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750768842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	6067126-4405 (Utah)	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. Belinda Brokke allows following entities to bill medicare on her behalf.

Entity Name	Aleracare Of Utah, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164012431 PECOS PAC ID: 0446664312 Enrollment ID: O20210204001690

Entity Name	Ketamine Wellness Centers S L C.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194491423 PECOS PAC ID: 1759765712 Enrollment ID: O20220825001756

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. Belinda Brokke 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
Belinda Brokke, 2935 S Hartford St, Salt Lake City, UT 84106-3468 Ph: () -	Belinda Brokke, 50 N Medical Dr, Salt Lake City, UT 84132-0001 Ph: (801) 581-2121

Reviews and Comments

Nurse Practitioner Nurses in Salt Lake City, UT

Mrs. Lisa Ann Runyon, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Trauma Services, Salt Lake City, UT 84113 Phone: 801-662-2993 Fax: 801-662-2999
Madeline Ann Thayer, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-3600
Emma Fong, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3802 S 700 E, Salt Lake City, UT 84106 Phone: 801-264-6000
Ashlee Brynn Fenton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 E 3900 S Ste G200, Salt Lake City, UT 84124 Phone: 801-268-7766
Donna M. Wahoff-stice, APRN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 Arapeen Dr, 100, Salt Lake City, UT 84108 Phone: 801-581-7761
Linda M Lambert, A.P.R.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Ms. Ann A. K. Kamp, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 N Medical Dr, Salt Lake City, UT 84113 Phone: 801-662-1000 Fax: 801-662-4166

Belinda Brokke, - Medicare Nurse Practitioner in Salt Lake City, UT