Summer Brokman, is a
Licensed Practical Nurse based in Yazoo City, Mississippi. Summer Brokman is licensed to practice in Mississippi (license number P321087) and her current practice location is
635 W Willie Morris Pkwy, Yazoo City, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(662) 746-5712.
NPI number for Summer Brokman is 1710634514 and her current mailing address is 635 W Willie Morris Pkwy, Yazoo City, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710634514.
Provider's Profile
| Full Name | Summer Brokman |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
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| Location | 635 W Willie Morris Pkwy, Yazoo City, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710634514
- Provider Enumeration Date: 03/02/2022
- Last Update Date: 03/02/2022
Medical Identifiers
Medical identifiers for Summer Brokman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710634514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | P321087 (Mississippi) | Primary |
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. Summer Brokman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Summer Brokman,
635 W Willie Morris Pkwy,
Yazoo City, MS 39194-7702
Ph: (662) 746-5712 | Summer Brokman,
635 W Willie Morris Pkwy,
Yazoo City, MS 39194-7702
Ph: (662) 746-5712 |
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