Brooke Busboom, is a medicare enrolled "Speech-language Pathologist" provider in Eustis, Nebraska. Her current practice location is
75202 Road 415, Eustis, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 469-5569.
Brooke Busboom is licensed to practice in Nebraska (license number 2575) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477270692.
Healthcare Provider's Profile
| Full Name | Brooke Busboom |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 75202 Road 415, Eustis, Nebraska |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477270692
- Provider Enumeration Date: 10/27/2022
- Last Update Date: 10/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 6305215187
- Enrollment ID: I20221219000457
Medical Identifiers
Medical identifiers for Brooke Busboom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477270692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 2575 (Nebraska) | 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. Brooke Busboom allows following entities to bill medicare on her behalf.
| Provider Name | Key Rehabilitation,inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902923014
PECOS PAC ID: 9638086432
Enrollment ID: O20040128000856 |
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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. Brooke Busboom 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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Brooke Busboom,
75202 Road 415,
Eustis, NE 69028-3202
Ph: (402) 469-5569 | Brooke Busboom,
75202 Road 415,
Eustis, NE 69028-3202
Ph: (402) 469-5569 |
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