Mrs Raeann Lynn Brodbeck, APRN is a medicare enrolled "Nurse Practitioner - Family" in Ottawa Lake, Michigan. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ohio Living Palliative Care Greater Toledo Llc and her current practice location is
8900 Yankee Rd, Ottawa Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 888-1135.
Mrs Raeann Lynn Brodbeck is licensed to practice in Ohio (license number COA.18416-NP) 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 1679941561.
Provider's Profile
Full Name | Mrs Raeann Lynn Brodbeck |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 9 Years |
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Location | 8900 Yankee Rd, Ottawa Lake, Michigan |
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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:
- Mrs Raeann Lynn Brodbeck graduated from nursing school in 2015
NPI Data:
- NPI Number: 1679941561
- Provider Enumeration Date: 09/09/2015
- Last Update Date: 09/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416252473
- Enrollment ID: I20160229002656
Medical Identifiers
Medical identifiers for Mrs Raeann Lynn Brodbeck such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679941561 | NPI | - | NPPES |
162645 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | COA.18416-NP (Ohio) | Primary |
363LF0000X | Nurse Practitioner - Family | 4074250685 (Michigan) | Secondary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Ohio Living Palliative Care Greater Toledo Llc | 3476803594 | 9 |
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 Raeann Lynn Brodbeck allows following entities to bill medicare on her behalf.
Entity Name | Kingston Care Partners, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609185180 PECOS PAC ID: 1850589102 Enrollment ID: O20101230000649 |
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Entity Name | Ohio Living Palliative Care Greater Toledo Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861981656 PECOS PAC ID: 3476803594 Enrollment ID: O20180911000364 |
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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. Mrs Raeann Lynn Brodbeck 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 Raeann Lynn Brodbeck, APRN 8900 Yankee Rd, Ottawa Lake, MI 49267-9554 Ph: (734) 888-1135 | Mrs Raeann Lynn Brodbeck, APRN 8900 Yankee Rd, Ottawa Lake, MI 49267-9554 Ph: (734) 888-1135 |
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