Anthony Brooks, is a medicare enrolled "Psychologist - Counseling" provider in Centralia, Illinois. His current practice location is
8 Edgewood Ln N, Centralia, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 204-8227.
Anthony Brooks is licensed to practice in Illinois (license number 180014390) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1306581103.
Healthcare Provider's Profile
Full Name | Anthony Brooks |
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Gender | Male |
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Speciality | Psychologist - Counseling |
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Location | 8 Edgewood Ln N, Centralia, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1306581103
- Provider Enumeration Date: 05/05/2022
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092246090
- Enrollment ID: I20241001003744
Medical Identifiers
Medical identifiers for Anthony Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306581103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC1900X | Psychologist - Counseling | 180014390 (Illinois) | 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. Anthony Brooks allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
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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. Anthony 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 |
Anthony Brooks, 8 Edgewood Ln N, Centralia, IL 62801-3708 Ph: (618) 204-8227 | Anthony Brooks, 8 Edgewood Ln N, Centralia, IL 62801-3708 Ph: (618) 204-8227 |
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