Amirah J Brack, FNP-BC - Medicare Nurse Practitioner in Avenel, NJ

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Amirah J Brack, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Avenel, New Jersey. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ennoble Hc Nj Pc, Infinite Medical Pc and her current practice location is 1804 Forest View Dr, Avenel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 361-3224.

Amirah J Brack is licensed to practice in New Jersey (license number 26NJ01206100) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083386056.

Contact Information

Amirah J Brack, FNP-BC
1804 Forest View Dr,
Avenel, NJ 07001-2173
(908) 361-3224
Not Available

Map and Direction




Provider's Profile

Full NameAmirah J Brack
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1804 Forest View Dr, Avenel, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amirah J Brack graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1083386056
  • Provider Enumeration Date: 09/29/2021
  • Last Update Date: 09/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9436542404
  • Enrollment ID: I20220216000011

Medical Identifiers

Medical identifiers for Amirah J Brack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083386056NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ01206100 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ennoble Hc Nj Pc034563818526
Infinite Medical Pc832547765655

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. Amirah J Brack allows following entities to bill medicare on her behalf.
Entity NameEpilepsy & Neurophysiology Medical Consultants Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013998830
PECOS PAC ID: 5395706501
Enrollment ID: O20041021000286
Entity NameInfinite Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407483175
PECOS PAC ID: 8325477656
Enrollment ID: O20210630000934
Entity NameEnnoble Hc Nj Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306500764
PECOS PAC ID: 0345638185
Enrollment ID: O20211028000825

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. Amirah J Brack 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 AddressPractice Location Address
Amirah J Brack, FNP-BC
1804 Forest View Dr,
Avenel, NJ 07001-2173

Ph: (908) 361-3224		Amirah J Brack, FNP-BC
1804 Forest View Dr,
Avenel, NJ 07001-2173

Ph: (908) 361-3224

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.