Kristy Brubaker, is a medicare enrolled "Social Worker - Clinical" provider in Washington Terrace, Utah. Her current practice location is
425 E 5350 S Ste 205, Washington Terrace, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 851-5554.
Kristy Brubaker is licensed to practice in Utah (license number 11461339-3501) 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 1760857288.
Healthcare Provider's Profile
| Full Name | Kristy Brubaker |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 425 E 5350 S Ste 205, Washington Terrace, Utah |
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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: 1760857288
- Provider Enumeration Date: 12/09/2015
- Last Update Date: 04/18/2025
Medicare PECOS Information:
- PECOS PAC ID: 0244751972
- Enrollment ID: I20250310003068
Medical Identifiers
Medical identifiers for Kristy Brubaker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1760857288 | NPI | - | NPPES |
| 95-2633765 | Other | CA | MEDI-CAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 11461339-3501 (Utah) | 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. Kristy Brubaker allows following entities to bill medicare on her behalf.
| Entity Name | Kindly Md, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225647480 PECOS PAC ID: 8921471897 Enrollment ID: O20230224001420 |
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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. Kristy Brubaker 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 |
Kristy Brubaker, 425 E 5350 S Ste 205, Washington Terrace, UT 84405-6943 Ph: (801) 851-5554 | Kristy Brubaker, 425 E 5350 S Ste 205, Washington Terrace, UT 84405-6943 Ph: (801) 851-5554 |
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