Brooke Michelle Sorensen, CNP is a medicare enrolled "Nurse Practitioner - Family" in Gaylord, Minnesota. Her current practice location is
660 3rd St, Gaylord, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 237-5523.
Brooke Michelle Sorensen is licensed to practice in Minnesota (license number 9461) 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 1184344053.
Provider's Profile
Full Name | Brooke Michelle Sorensen |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 660 3rd St, Gaylord, Minnesota |
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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: 1184344053
- Provider Enumeration Date: 08/31/2022
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 7012387665
- Enrollment ID: I20221223000833
Medical Identifiers
Medical identifiers for Brooke Michelle Sorensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184344053 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 9461 (Minnesota) | 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. Brooke Michelle Sorensen allows following entities to bill medicare on her behalf.
Entity Name | Ridgeview Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528364429 PECOS PAC ID: 9234041997 Enrollment ID: O20031111000183 |
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Entity Name | Minnesota Valley Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730248907 PECOS PAC ID: 9032006507 Enrollment ID: O20040301000309 |
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Entity Name | Sibley Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740240225 PECOS PAC ID: 3870722499 Enrollment ID: O20140418000315 |
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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. Brooke Michelle Sorensen 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 |
Brooke Michelle Sorensen, CNP 1055 Stein Dr, Waconia, MN 55387-9784 Ph: (218) 590-0366 | Brooke Michelle Sorensen, CNP 660 3rd St, Gaylord, MN 55334-2297 Ph: (507) 237-5523 |
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