Randel Brooks, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Midvale, Utah. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Valley Regional Anesthesia Associates Inc, Advanced Anesthesia Incorporated and his current practice location is
1023 Soho Dr, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at
(202) 841-6837.
Randel Brooks is licensed to practice in California (license number 95001486) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114528015.
Provider's Profile
Full Name | Randel Brooks |
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Gender | Male |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 4 Years |
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Location | 1023 Soho Dr, Midvale, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Randel Brooks graduated from nursing school in 2020
NPI Data:
- NPI Number: 1114528015
- Provider Enumeration Date: 11/06/2020
- Last Update Date: 09/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042626426
- Enrollment ID: I20210309003373
Medical Identifiers
Medical identifiers for Randel Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114528015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 95167168 (California) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | D175480 (Iowa) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 95001486 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Valley Regional Anesthesia Associates Inc | 3870964323 | 85 |
Advanced Anesthesia Incorporated | 4880936145 | 52 |
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. Randel Brooks allows following entities to bill medicare on his behalf.
Entity Name | Anesthesia Services Of San Joaquin Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174 |
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Entity Name | Regional Anesthesia Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811442874 PECOS PAC ID: 7810275096 Enrollment ID: O20161021001369 |
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Entity Name | Advanced Anesthesia Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720543762 PECOS PAC ID: 4880936145 Enrollment ID: O20190507001500 |
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Entity Name | Central California Anesthesiology Solutions |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1861020224 PECOS PAC ID: 7719317213 Enrollment ID: O20200424000764 |
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Entity Name | Valley Regional Anesthesia Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
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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. Randel 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 |
Randel Brooks, CRNA 1023 Soho Dr, Midvale, UT 84047-4770 Ph: (202) 841-6837 | Randel Brooks, CRNA 1023 Soho Dr, Midvale, UT 84047-4770 Ph: (202) 841-6837 |
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