Dr Daniel Solomon Martin Brown, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Peoria, Illinois. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Saint Francis Medical Center and his current practice location is
530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 624-5889.
Dr Daniel Solomon Martin Brown is licensed to practice in Illinois (license number 071.009858) 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 1568818060.
Healthcare Provider's Profile
| Full Name | Dr Daniel Solomon Martin Brown |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 8 Years |
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| Location | 530 Ne Glen Oak Ave, Peoria, Illinois |
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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:
- Dr Daniel Solomon Martin Brown graduated from medical school in 2016
NPI Data:
- NPI Number: 1568818060
- Provider Enumeration Date: 05/13/2016
- Last Update Date: 04/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4385932839
- Enrollment ID: I20190510002189
Medical Identifiers
Medical identifiers for Dr Daniel Solomon Martin Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568818060 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 071.009858 (Illinois) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 071.009858 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Saint Francis Medical Center | 9032021258 | 28 |
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. Dr Daniel Solomon Martin Brown allows following entities to bill medicare on his behalf.
| Entity Name | Saint Francis Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023062312
PECOS PAC ID: 9032021258
Enrollment ID: O20080303000228 |
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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. Dr Daniel Solomon Martin Brown 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 |
|---|
Dr Daniel Solomon Martin Brown, PHD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0001
Ph: (309) 624-5889 | Dr Daniel Solomon Martin Brown, PHD
530 Ne Glen Oak Ave,
Peoria, IL 61637-0816
Ph: (309) 624-5889 |
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