Kellie Brooks, NP is a medicare enrolled "Nurse Practitioner - Family" in St. Charles, Virginia. Her current practice location is
241 Monarch Road, St. Charles, Virginia. You can reach out to her office (for appointments etc.) via phone at
(276) 546-5310.
Kellie Brooks is licensed to practice in Virginia (license number 002400043) 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 1659342491.
Provider's Profile
| Full Name | Kellie Brooks |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 241 Monarch Road, St. Charles, Virginia |
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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: 1659342491
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 10/22/2019
Medicare PECOS Information:
- PECOS PAC ID: 0143323782
- Enrollment ID: I20070320000102
Medical Identifiers
Medical identifiers for Kellie Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659342491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 002400043 (Virginia) | 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. Kellie Brooks allows following entities to bill medicare on her behalf.
| Entity Name | St. Charles Health Council Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801013354
PECOS PAC ID: 0244124584
Enrollment ID: O20040209001103 |
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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. Kellie Brooks 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 |
|---|
Kellie Brooks, NP
276 Fieldstone Dr,
Jonesville, VA 24263-1215
Ph: (276) 546-5310 | Kellie Brooks, NP
241 Monarch Road,
St. Charles, VA 24282-0269
Ph: (276) 546-5310 |
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