Dr Kirk Edward Brockman, MD is a medicare enrolled "Family Medicine" physician in St. Clair, Missouri. His current practice location is
1001 Cardwell St, St. Clair, Missouri. You can reach out to his office (for appointments etc.) via phone at
(636) 629-3300.
Dr Kirk Edward Brockman is licensed to practice in Missouri (license number R2F53) 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 1235139221.
Physician's Profile
Full Name | Dr Kirk Edward Brockman |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 1001 Cardwell St, St. Clair, Missouri |
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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: 1235139221
- Provider Enumeration Date: 07/30/2005
- Last Update Date: 03/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 9830266337
- Enrollment ID: I20080925000339
Medical Identifiers
Medical identifiers for Dr Kirk Edward Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235139221 | NPI | - | NPPES |
P01134547 | Other | MO | RAILROAD MEDICARE |
202458204 | Medicaid | MO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | R2F53 (Missouri) | 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. Dr Kirk Edward Brockman allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic East Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073739041 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000058 |
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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 Kirk Edward Brockman 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 Kirk Edward Brockman, MD 1001 Cardwell Street, St. Clair, MO 63077 Ph: (636) 629-3300 | Dr Kirk Edward Brockman, MD 1001 Cardwell St, St. Clair, MO 63077 Ph: (636) 629-3300 |
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