Brooke Nicole Deweese, PA is a medicare enrolled "Physician Assistant - Medical" in Pueblo West, Colorado. Her current practice location is
121 S. Crescent Drive, Pueblo West, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 595-7575.
Brooke Nicole Deweese is licensed to practice in Colorado (license number PA.0003584) 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 1174867279.
Provider's Profile
Full Name | Brooke Nicole Deweese |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 121 S. Crescent Drive, Pueblo West, Colorado |
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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: 1174867279
- Provider Enumeration Date: 11/15/2012
- Last Update Date: 03/02/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668775941
- Enrollment ID: I20160120001230
Medical Identifiers
Medical identifiers for Brooke Nicole Deweese such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174867279 | NPI | - | NPPES |
89056779 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | PA.0003584 (Colorado) | Primary |
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 Nicole Deweese 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 Nicole Deweese, PA Po Box 560825, Denver, CO 80256-0825 Ph: (719) 595-7580 | Brooke Nicole Deweese, PA 121 S. Crescent Drive, Pueblo West, CO 81007-5433 Ph: (719) 595-7575 |
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