Nicole Marie Brubaker, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sandy Creek, New York. Her current practice location is
124 Salisbury St, Sandy Creek, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 387-3620.
Nicole Marie Brubaker is licensed to practice in New York (license number 33 340733) 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 1003267345.
Provider's Profile
Full Name | Nicole Marie Brubaker |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 124 Salisbury St, Sandy Creek, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003267345
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 04/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 6204122534
- Enrollment ID: I20160913000009
Medical Identifiers
Medical identifiers for Nicole Marie Brubaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003267345 | NPI | - | NPPES |
04550890 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 33 340733 (New York) | 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. Nicole Marie Brubaker allows following entities to bill medicare on her behalf.
Entity Name | Northern Oswego County Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508850280 PECOS PAC ID: 8426961541 Enrollment ID: O20031106000070 |
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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. Nicole Marie Brubaker 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 |
Nicole Marie Brubaker, FNP-C 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6564 | Nicole Marie Brubaker, FNP-C 124 Salisbury St, Sandy Creek, NY 13145-7706 Ph: (315) 387-3620 |
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