Mrs Dawn Renae Brockett, in Salem, OR - Medicare Nurse Practitioner

Mrs Dawn Renae Brockett, is a medicare enrolled "Nurse Practitioner - Family" in Salem, Oregon. Her current practice location is 1535 Liberty St Se, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (866) 972-0235.

Mrs Dawn Renae Brockett is licensed to practice in Oregon (license number 201805045NP-PP) 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 1154786614.

Contact Information

	Mrs Dawn Renae Brockett,
	1535 Liberty St Se, Salem, OR 97302-4345
	(866) 972-0235
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Dawn Renae Brockett
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1535 Liberty St Se, Salem, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154786614
Provider Enumeration Date: 12/28/2015
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4385941947
Enrollment ID: I20230126002685

Medical Identifiers

Medical identifiers for Mrs Dawn Renae Brockett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154786614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4332 (Minnesota)	Secondary
363LF0000X	Nurse Practitioner - Family	201805045NP-PP (Oregon)	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. Mrs Dawn Renae Brockett allows following entities to bill medicare on her behalf.

Entity Name	Clinicops Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275821266 PECOS PAC ID: 9739343245 Enrollment ID: O20120613000647

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. Mrs Dawn Renae Brockett 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
Mrs Dawn Renae Brockett, 2459 Se Tualatin Valley Hwy # 416, Hillsboro, OR 97123-7919 Ph: () -	Mrs Dawn Renae Brockett, 1535 Liberty St Se, Salem, OR 97302-4345 Ph: (866) 972-0235

Reviews and Comments

Nurse Practitioner Nurses in Salem, OR

Ashley Barth, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-814-5554
Dr. Betty Ang, PH.D., PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1660 Oak St Se, Salem Va Outpatient Clinic, Salem, OR 97301 Phone: 503-316-8817 Fax: 503-316-9037
Mrs. Patricia Lynn Eich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3180 Center St Ne, Salem, OR 97301 Phone: 503-588-5355 Fax: 503-585-4995
Lisa Renee Bennett, FNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1095 Liberty St Ne, Salem, OR 97301 Phone: 503-581-6550 Fax: 503-581-4755
Curtis B Gill, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1002 Bellevue St Se, Salem, OR 97301 Phone: 503-561-5554
Mr. Matthew David Piehler, PMHNP-BC, MSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2045 Silverton Rd Ne Ste B, Salem, OR 97301 Phone: 503-588-5351
Ms. Sharon L Espersen, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 885 Mission St Se, Salem, OR 97302 Phone: 503-585-5585 Fax: 503-587-7823

Mrs Dawn Renae Brockett, - Medicare Nurse Practitioner in Salem, OR