Jacob Richard Bromley, OD is a medicare enrolled "Optometrist" provider in Somerton, Arizona. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Nicolex Llc and his current practice location is
725 E Main St, Apt #1c, Somerton, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 627-4525.
Jacob Richard Bromley is licensed to practice in Arizona (license number 002462) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992310312.
Healthcare Provider's Profile
| Full Name | Jacob Richard Bromley |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 4 Years |
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| Location | 725 E Main St, Apt #1c, Somerton, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacob Richard Bromley graduated from medical school in 2020
NPI Data:
- NPI Number: 1992310312
- Provider Enumeration Date: 09/11/2020
- Last Update Date: 02/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 6608296579
- Enrollment ID: I20201014001543
Medical Identifiers
Medical identifiers for Jacob Richard Bromley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992310312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 002462 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nicolex Llc | 3870805179 | 2 |
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. Jacob Richard Bromley allows following entities to bill medicare on his behalf.
| Provider Name | Somerton Eyecare Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306981386
PECOS PAC ID: 9133221369
Enrollment ID: O20070219000625 |
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| Provider Name | Nicolex Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1003221185
PECOS PAC ID: 3870805179
Enrollment ID: O20150629002559 |
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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. Jacob Richard Bromley 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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Jacob Richard Bromley, OD
17439 N 57th Ave,
Glendale, AZ 85308-3819
Ph: (925) 708-5301 | Jacob Richard Bromley, OD
725 E Main St, Apt #1c,
Somerton, AZ 85350
Ph: (928) 627-4525 |
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