Ms Jeannetta Ann Brooks, APN in Port Orange, FL

Ms Jeannetta Ann Brooks, APN is a medicare enrolled "Nurse Practitioner - Family" in Port Orange, Florida. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Conviva Medical Center Management, Llc and her current practice location is 3641 Clyde Morris Blvd Ste 400, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 675-4410.

Ms Jeannetta Ann Brooks is licensed to practice in Florida (license number APRN11005670) 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 1457892226.

Contact Information

	Ms Jeannetta Ann Brooks, APN
	3641 Clyde Morris Blvd Ste 400, Port Orange, FL 32129-2357
	(386) 675-4410
	(866) 542-5859

Map and Direction

Provider's Profile

Full Name	Ms Jeannetta Ann Brooks
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3641 Clyde Morris Blvd Ste 400, Port Orange, Florida
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:

Ms Jeannetta Ann Brooks graduated from nursing school in 2017

NPI Data:

NPI Number: 1457892226
Provider Enumeration Date: 03/13/2017
Last Update Date: 12/04/2021

Medicare PECOS Information:

PECOS PAC ID: 0345517611
Enrollment ID: I20200319000932

Medical Identifiers

Medical identifiers for Ms Jeannetta Ann Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457892226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN260247 (Georgia)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ00774600 (New Jersey)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN11005670 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conviva Medical Center Management, Llc	4284717422	346

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. Ms Jeannetta Ann Brooks allows following entities to bill medicare on her behalf.

Entity Name	Conviva Medical Center Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649324278 PECOS PAC ID: 4284717422 Enrollment ID: O20080212000415

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. Ms Jeannetta Ann 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
Ms Jeannetta Ann Brooks, APN 6101 Blue Lagoon Dr Ste 400, Miami, FL 33126-2051 Ph: (305) 500-2000	Ms Jeannetta Ann Brooks, APN 3641 Clyde Morris Blvd Ste 400, Port Orange, FL 32129-2357 Ph: (386) 675-4410

Reviews and Comments

Nurse Practitioner Nurses in Port Orange, FL

Holly Anne Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 870 Dunlawton Ave Ste 210a, Port Orange, FL 32127 Phone: 386-518-3671
Olivia Michelle Miller, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127 Phone: 386-271-2273 Fax: 386-271-2274
Lynn Ann Howard, ARNP, PMHNP, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-767-8584 Fax: 386-767-8536
Jay W Butwinick, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1730 Dunlawton Ave Ste 1, Port Orange, FL 32127 Phone: 386-320-3299
Margaret M. Thompson, A.R.N.P., M.S.N Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 735 Dunlawton Ave, Port Orange, FL 32127 Phone: 888-808-0488 Fax: 386-872-4232
Kelly S Kiah, D.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 Woodbriar Trl, Port Orange, FL 32129 Phone: 386-322-4752
Ms. Margaret Leger Ramstad, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1648 Taylor Rd Ste 259, Port Orange, FL 32128 Phone: 386-320-5525 Fax: 386-222-7395

Ms Jeannetta Ann Brooks, APN - Medicare Nurse Practitioner in Port Orange, FL