Brooke H Brody, LCSW-C, LCADC is a medicare enrolled "Social Worker - Clinical" provider in Petaluma, California. He went to West Virginia University School Of Medicine and graduated in 2000 and has 26 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Lake County Tribal Health Consortium Inc and his current practice location is
621a 2nd St, Petaluma, California. You can reach out to his office (for appointments etc.) via phone at
(240) 994-4926.
Brooke H Brody is licensed to practice in California (license number LCSW99030) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245613819.
Healthcare Provider's Profile
| Full Name | Brooke H Brody |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 26 Years |
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| Location | 621a 2nd St, Petaluma, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brooke H Brody attended and graduated from West Virginia University School Of Medicine in 2000
NPI Data:
- NPI Number: 1245613819
- Provider Enumeration Date: 07/01/2015
- Last Update Date: 05/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486194404
- Enrollment ID: I20240905001103
Medical Identifiers
Medical identifiers for Brooke H Brody such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245613819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCA400 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12360 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW99030 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake County Tribal Health Consortium Inc | 8729975545 | 37 |
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. Brooke H Brody allows following entities to bill medicare on his behalf.
| Entity Name | Lake County Tribal Health Consortium Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881697381
PECOS PAC ID: 8729975545
Enrollment ID: O20040304000323 |
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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. Brooke H Brody 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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Brooke H Brody, LCSW-C, LCADC
621a 2nd St,
Petaluma, CA 94952-5123
Ph: (240) 994-4926 | Brooke H Brody, LCSW-C, LCADC
621a 2nd St,
Petaluma, CA 94952-5123
Ph: (240) 994-4926 |
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