Mr Randall Glenn Brooks, PT in Granger, IN - Medicare Physical Therapy Provider

Mr Randall Glenn Brooks, PT is a medicare enrolled "Physical Therapist" provider in Granger, Indiana. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Beacon Health Llc and his current practice location is 3221 Beacon Pkwy Ste 100, Granger, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 647-2930.

Mr Randall Glenn Brooks is licensed to practice in Indiana (license number 05002570A) 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 1184660870.

Contact Information

	Mr Randall Glenn Brooks, PT
	3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196
	(574) 647-2930
	(574) 647-2935

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randall Glenn Brooks
Gender	Male
Speciality	Physical Therapy
Experience	36 Years
Location	3221 Beacon Pkwy Ste 100, Granger, Indiana
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:

Mr Randall Glenn Brooks graduated from medical school in 1988

NPI Data:

NPI Number: 1184660870
Provider Enumeration Date: 06/21/2006
Last Update Date: 03/31/2021

Medicare PECOS Information:

PECOS PAC ID: 7315914322
Enrollment ID: I20080331000432

Medical Identifiers

Medical identifiers for Mr Randall Glenn Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184660870	NPI	-	NPPES
IN3678023	Other	IN	MEDICARE PTAN
300024808	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	05002570A (Indiana)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beacon Health Llc	1254690530	21

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. Mr Randall Glenn Brooks allows following entities to bill medicare on his behalf.

Provider Name	Beacon Health Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1386154821 PECOS PAC ID: 1254690530 Enrollment ID: O20180111002456

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. Mr Randall Glenn 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
Mr Randall Glenn Brooks, PT 710 N Niles Ave, South Bend, IN 46617-1924 Ph: (574) 647-1610	Mr Randall Glenn Brooks, PT 3221 Beacon Pkwy Ste 100, Granger, IN 46530-7196 Ph: (574) 647-2930

Reviews and Comments

Physical Therapist in Granger, IN

Paxxon Healthcare Services Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 6330 N Fir Rd, Granger, IN 46530 Phone: 574-274-4920 Fax: 574-274-4920
Mrs. Payal Koul-kumar, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12655 State Road 23, Granger, IN 46530 Phone: 574-343-6427
Beacon Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3221 Beacon Parkway, Suite B, Granger, IN 46530 Phone: 574-647-1700 Fax: 574-291-3351
Brett L Buda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935
Emilia M Kareem, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-2930 Fax: 574-647-2935
Megan Martin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3221 Beacon Pkwy Ste 100, Granger, IN 46530 Phone: 574-647-5790 Fax: 574-647-5792

Mr Randall Glenn Brooks, PT - Medicare Physical Therapist in Granger, IN