Duane Thomas Brooks, OD is a medicare enrolled "Optometrist" provider in Mount Shasta, California. He went to Pacific University - College Of Optometry and graduated in 1971 and has 53 years of diverse experience with area of expertise as Optometry. His current practice location is
110 Chestnut St, Mount Shasta, California. You can reach out to his office (for appointments etc.) via phone at
(530) 926-2033.
Duane Thomas Brooks is licensed to practice in California (license number 5366T) 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 1063415065.
Healthcare Provider's Profile
| Full Name | Duane Thomas Brooks |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 53 Years |
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| Location | 110 Chestnut St, Mount Shasta, California |
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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. |
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Medical Education and Training:
- Duane Thomas Brooks attended and graduated from Pacific University - College Of Optometry in 1971
NPI Data:
- NPI Number: 1063415065
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204915861
- Enrollment ID: I20081125000760
Medical Identifiers
Medical identifiers for Duane Thomas Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063415065 | NPI | - | NPPES |
| SD0053660 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 777T (Nebraska) | Secondary |
| 152W00000X | Optometrist | 5366T (California) | 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. Duane Thomas Brooks allows following entities to bill medicare on his behalf.
| Provider Name | Shasta Vision Group An Optometric Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1669697348
PECOS PAC ID: 6305837311
Enrollment ID: O20040519000987 |
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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. Duane Thomas 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 |
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Duane Thomas Brooks, OD
110 Chestnut St,
Mount Shasta, CA 96067-2209
Ph: (530) 926-2033 | Duane Thomas Brooks, OD
110 Chestnut St,
Mount Shasta, CA 96067-2209
Ph: (530) 926-2033 |
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