Bobbie Jo Brzeczek, CNM is a medicare enrolled "Advanced Practice Midwife" in Morristown, Tennessee. Her current practice location is
1621 W Morris Blvd Ste A, Morristown, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 492-7100.
Bobbie Jo Brzeczek is licensed to practice in Tennessee (license number 35623) 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 1952163396.
Provider's Profile
| Full Name | Bobbie Jo Brzeczek |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1621 W Morris Blvd Ste A, Morristown, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952163396
- Provider Enumeration Date: 01/30/2024
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436599370
- Enrollment ID: I20240425003208
Medical Identifiers
Medical identifiers for Bobbie Jo Brzeczek such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952163396 | NPI | - | NPPES |
| Q090621 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 35623 (Tennessee) | 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. Bobbie Jo Brzeczek allows following entities to bill medicare on her behalf.
| Entity Name | Fort Sanders Perinatal Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003811381
PECOS PAC ID: 3577505536
Enrollment ID: O20050614001362 |
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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. Bobbie Jo Brzeczek 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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Bobbie Jo Brzeczek, CNM
1621 W Morris Blvd Ste A,
Morristown, TN 37813-2967
Ph: (423) 492-7100 | Bobbie Jo Brzeczek, CNM
1621 W Morris Blvd Ste A,
Morristown, TN 37813-2967
Ph: (423) 492-7100 |
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