Mrs Stacie Brooker, in Jesup, GA - Medicare Nurse Practitioner

Mrs Stacie Brooker, is a medicare enrolled "Nurse Practitioner - Family" in Jesup, Georgia. Her current practice location is 240 Peachtree St, Jesup, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 427-2043.

Mrs Stacie Brooker is licensed to practice in Georgia (license number RN205526) 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 1043849359.

Contact Information

	Mrs Stacie Brooker,
	240 Peachtree St, Jesup, GA 31545-0212
	(912) 427-2043
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Stacie Brooker
Gender	Female
Speciality	Nurse Practitioner - Family
Location	240 Peachtree St, Jesup, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043849359
Provider Enumeration Date: 04/07/2020
Last Update Date: 09/08/2022

Medicare PECOS Information:

PECOS PAC ID: 9335583681
Enrollment ID: I20240215000319

Medical Identifiers

Medical identifiers for Mrs Stacie Brooker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043849359	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN205526 (Georgia)	Primary
163WC1500X	Registered Nurse - Community Health	RN205526 (Georgia)	Secondary

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. Mrs Stacie Brooker allows following entities to bill medicare on her behalf.

Entity Name	Peachtree Immediate Care Fp, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049

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. Mrs Stacie Brooker 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
Mrs Stacie Brooker, Po Box 366, Nahunta, GA 31553-0366 Ph: (912) 462-8741	Mrs Stacie Brooker, 240 Peachtree St, Jesup, GA 31545-0212 Ph: (912) 427-2043

Reviews and Comments

Nurse Practitioner Nurses in Jesup, GA

Melanie D Collum, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 391 S 1st St, Jesup, GA 31545 Phone: 912-427-8433 Fax: 912-427-9851
Leslie Brook Tzen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202
Lesleigh Dee Beard, FNP-BC, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1625 Sunset Blvd, Jesup, GA 31545 Phone: 912-588-0080 Fax: 912-588-0082
Kelly Boyette, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Memorial Dr, Jesup, GA 31545 Phone: 912-427-4413
Samantha Anthonette Wilkerson, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 141 S Macon St, Jesup, GA 31545 Phone: 912-427-3202
Halei Alise Kirkland, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 111 Colonial Way, Jesup, GA 31545 Phone: 912-588-9110

Mrs Stacie Brooker, - Medicare Nurse Practitioner in Jesup, GA