Jessalyn Brockman, in Council Bluffs, IA - Medicare Nurse Practitioner

Jessalyn Brockman, is a medicare enrolled "Nurse Practitioner - Family" in Council Bluffs, Iowa. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Md West One, Pc, Md West One, Pc and her current practice location is 1 Edmundson Pl Ste 200, Council Bluffs, Iowa. You can reach out to her office (for appointments etc.) via phone at (402) 390-4111.

Jessalyn Brockman is licensed to practice in Iowa (license number A120454) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073962700.

Contact Information

	Jessalyn Brockman,
	1 Edmundson Pl Ste 200, Council Bluffs, IA 51503-4658
	(402) 390-4111
	(402) 390-4115

Map and Direction

Provider's Profile

Full Name	Jessalyn Brockman
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1 Edmundson Pl Ste 200, Council Bluffs, Iowa
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jessalyn Brockman graduated from nursing school in 2016

NPI Data:

NPI Number: 1073962700
Provider Enumeration Date: 06/03/2016
Last Update Date: 12/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7315239720
Enrollment ID: I20160705002173

Medical Identifiers

Medical identifiers for Jessalyn Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073962700	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	A120454 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Methodist Jennie Edmundson	Council bluffs, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Md West One, Pc	0446228852	67
Md West One, Pc	0446228852	67

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. Jessalyn Brockman allows following entities to bill medicare on her behalf.

Entity Name	Clarinda Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629196241 PECOS PAC ID: 4587573993 Enrollment ID: O20031205000207

Entity Name	Miller Orthopaedic Affiliates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659379519 PECOS PAC ID: 4385533769 Enrollment ID: O20040312001239

Entity Name	Md West One, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588616767 PECOS PAC ID: 0446228852 Enrollment ID: O20080403000013

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. Jessalyn Brockman 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
Jessalyn Brockman, 8005 Farnam Dr Ste 305, Omaha, NE 68114-3426 Ph: (402) 390-4111	Jessalyn Brockman, 1 Edmundson Pl Ste 200, Council Bluffs, IA 51503-4658 Ph: (402) 390-4111

Reviews and Comments

Nurse Practitioner Nurses in Council Bluffs, IA

Jennifer L Achenbach, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-325-2484
Mallory Lloyd, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 808 E Pierce St, Council Bluffs, IA 51503 Phone: 402-740-6503
Michelle Rude, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Laura M Ayers, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 800 Mercy Dr, Council Bluffs, IA 51503 Phone: 712-328-5252
Shannon Ranae Stafford, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1604 2nd Ave, Council Bluffs, IA 51501 Phone: 712-322-6650 Fax: 712-328-7985
Brian Luedke, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 933 E Pierce St, Council Bluffs, IA 51503 Phone: 712-396-4360 Fax: 712-396-7069
Ms. Emily Wickham, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3434 W Broadway Ste 100, Council Bluffs, IA 51501 Phone: 712-325-0022

Jessalyn Brockman, - Medicare Nurse Practitioner in Council Bluffs, IA