Dr Roberta Samelson Bracken, MD in Bolivia, NC

Dr Roberta Samelson Bracken, MD is a medicare enrolled "Internal Medicine - Endocrinology, Diabetes & Metabolism" physician in Bolivia, North Carolina. Her current practice location is 25 Courthouse Dr Ne, Bolivia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 253-2250.

Dr Roberta Samelson Bracken is licensed to practice in North Carolina (license number 35280) 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 1770557753.

Contact Information

	Dr Roberta Samelson Bracken, MD
	25 Courthouse Dr Ne, Bolivia, NC 28422
	(910) 253-2250
	(910) 253-2370

Map and Direction

Physician's Profile

Full Name	Dr Roberta Samelson Bracken
Gender	Female
Speciality	Internal Medicine - Endocrinology, Diabetes & Metabolism
Location	25 Courthouse Dr Ne, Bolivia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770557753
Provider Enumeration Date: 02/15/2006
Last Update Date: 05/18/2022

Medicare PECOS Information:

PECOS PAC ID: 3173658838
Enrollment ID: I20100319000223

Medical Identifiers

Medical identifiers for Dr Roberta Samelson Bracken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770557753	NPI	-	NPPES
8917621	Medicaid	NC
1770557753	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RE0101X	Internal Medicine - Endocrinology, Diabetes & Metabolism	35280 (North Carolina)	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 Roberta Samelson Bracken allows following entities to bill medicare on her behalf.

Entity Name	Brunswick County Ems
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841248622 PECOS PAC ID: 3274438296 Enrollment ID: O20050131000387

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 Roberta Samelson Bracken 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 Roberta Samelson Bracken, MD 25 Courthouse Drive Ne, P O Box 9, Bolivia, NC 28422 Ph: (910) 253-2250	Dr Roberta Samelson Bracken, MD 25 Courthouse Dr Ne, Bolivia, NC 28422 Ph: (910) 253-2250

Reviews and Comments

Internal Medicine Doctors in Bolivia, NC

Dr. Timothy Michael Foeller, M.D. Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074
William Joseph Faircloth, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-755-1004 Fax: 910-755-1474
Alan Joseph Bloszko Jr, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074
Lawrence James Mason, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-755-1474
David John Koenig, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 240 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-721-2070 Fax: 910-721-2074
Patrick Christopher Ellis, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 584 Hospital Dr Ne, Bolivia, NC 28422 Phone: 910-662-9500 Fax: 910-668-9501

Dr Roberta Samelson Bracken, MD - Medicare Internal Medicine in Bolivia, NC