Mrs Tamara Kaye Brockman, PNP in Springboro, OH

Mrs Tamara Kaye Brockman, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Springboro, Ohio. Her current practice location is 662 N Main St, Springboro, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 641-5066.

Mrs Tamara Kaye Brockman is licensed to practice in Ohio (license number APRN.CNP.05304) 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 1639224140.

Contact Information

	Mrs Tamara Kaye Brockman, PNP
	662 N Main St, Springboro, OH 45066-9553
	(937) 641-5066
	(937) 550-9797

Map and Direction

Provider's Profile

Full Name	Mrs Tamara Kaye Brockman
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	662 N Main St, Springboro, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639224140
Provider Enumeration Date: 01/24/2007
Last Update Date: 10/07/2023

Medicare PECOS Information:

PECOS PAC ID: 0345536983
Enrollment ID: I20160908001508

Medical Identifiers

Medical identifiers for Mrs Tamara Kaye Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639224140	NPI	-	NPPES
2143933	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	APRN.CNP.05304 (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. Mrs Tamara Kaye Brockman allows following entities to bill medicare on her behalf.

Entity Name	Dayton Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416

Entity Name	Dayton Childrens Specialty Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690

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 Tamara Kaye 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
Mrs Tamara Kaye Brockman, PNP Po Box 933432, Cleveland, OH 44193-0039 Ph: (937) 641-3000	Mrs Tamara Kaye Brockman, PNP 662 N Main St, Springboro, OH 45066-9553 Ph: (937) 641-5066

Reviews and Comments

Nurse Practitioner Nurses in Springboro, OH

Miss Saundra D Zerbe, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 662 N Main St, Springboro, OH 45066 Phone: 937-641-5066 Fax: 937-550-9797
Stacy T Sullenberger, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 662 N Main St, Springboro, OH 45066 Phone: 937-641-5066 Fax: 937-550-9797
Paula A Eichmann, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 662 N Main St, Springboro, OH 45066 Phone: 937-641-5066 Fax: 937-550-9797
Joia Lynn Henson, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 825 N Main St Ste 210, Springboro, OH 45066 Phone: 937-762-5500 Fax: 937-762-5099
Angela Marie Frazer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 N Main St, Springboro, OH 45066 Phone: 866-389-2727
Elizabeth Marrie Richards, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 710 N Main St, Springboro, OH 45066 Phone: 937-748-1135
Cherry Hawkins, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 325 E Central Ave, Springboro, OH 45066 Phone: 937-207-0975

Mrs Tamara Kaye Brockman, PNP - Medicare Nurse Practitioner in Springboro, OH