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 |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 425 E 5350 S Ste 205, Washington Terrace, Utah |
---|
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. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1225647480 PECOS PAC ID: 8921471897 Enrollment ID: O20230224001420 |
---|
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 |
Reviews and Comments