Danielle N Brockelman, in Southlake, TX - Medicare Counselor Provider

Danielle N Brockelman, is a medicare enrolled "Counselor - Professional" provider in Southlake, Texas. Her current practice location is 185 S Kimball Ave Ste 120, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 618-0588.

Danielle N Brockelman is licensed to practice in Texas (license number 81931) 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 1235807066.

Contact Information

	Danielle N Brockelman,
	185 S Kimball Ave Ste 120, Southlake, TX 76092-1525
	(214) 618-0588
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Danielle N Brockelman
Gender	Female
Speciality	Counselor - Professional
Location	185 S Kimball Ave Ste 120, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235807066
Provider Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021

Medicare PECOS Information:

PECOS PAC ID: 8426400102
Enrollment ID: I20240118000839

Medical Identifiers

Medical identifiers for Danielle N Brockelman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235807066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	81931 (Texas)	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. Danielle N Brockelman allows following entities to bill medicare on her behalf.

Entity Name	Blank Slate Therapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639539364 PECOS PAC ID: 5193069219 Enrollment ID: O20181130000750

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. Danielle N Brockelman 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
Danielle N Brockelman, 3818 Timberwood Ct, Grand Prairie, TX 75052-6927 Ph: (903) 520-8890	Danielle N Brockelman, 185 S Kimball Ave Ste 120, Southlake, TX 76092-1525 Ph: (214) 618-0588

Reviews and Comments

Counselor in Southlake, TX

Caitlyn Mccready, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 558 Silicon Dr Ste 102, Southlake, TX 76092 Phone: 817-415-2155
Melanie Dawn Epp, LPC, LMFT, RPT-S Counselor Medicare: Not Enrolled in Medicare Practice Location: 2485 E Southlake Blvd, 220, Southlake, TX 76092 Phone: 940-594-7474 Fax: 940-321-3920
Catherine Tito, M.A. LPC INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Grand Ave, Suite 230, Southlake, TX 76092 Phone: 817-756-1440
Karisha Delvon Richards, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 W State Hwy 114, Suite 200, Southlake, TX 76092 Phone: 430-558-1645
Jesse Cole Dawkins, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2435 E Southlake Blvd Ste 100, Southlake, TX 76092 Phone: 817-812-2880
Robert Lemus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2104 Greenbriar Dr, Southlake, TX 76092 Phone: 817-442-9022
Karen Christensen, LPC, LSOTP Counselor Medicare: Not Enrolled in Medicare Practice Location: 231 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-228-1336

Danielle N Brockelman, - Medicare Counselor in Southlake, TX