Julie Anne Brockman, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Mount Sterling, Ohio. Her current practice location is
164 E Main St, Mount Sterling, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 956-1360.
Julie Anne Brockman is licensed to practice in Ohio (license number APRN.CNP.0036640) 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 1104668102.
Provider's Profile
| Full Name | Julie Anne Brockman |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 164 E Main St, Mount Sterling, Ohio |
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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: 1104668102
- Provider Enumeration Date: 06/10/2024
- Last Update Date: 09/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315470291
- Enrollment ID: I20241030003774
Medical Identifiers
Medical identifiers for Julie Anne Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104668102 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.0036640 (Ohio) | 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. Julie Anne Brockman allows following entities to bill medicare on her behalf.
| Entity Name | Mount Carmel - Osu Physician Alliance Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871913731
PECOS PAC ID: 2860617891
Enrollment ID: O20140708001638 |
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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. Julie Anne 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 |
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Julie Anne Brockman, APRN-CNP
700 Ackerman Rd Ste 2120,
Columbus, OH 43202-1559
Ph: (740) 956-1360 | Julie Anne Brockman, APRN-CNP
164 E Main St,
Mount Sterling, OH 43143-1145
Ph: (740) 956-1360 |
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