Stefanie Rae Brocker, RD is a medicare enrolled "Nutritionist" provider in Baltimore, Maryland. Her current practice location is
800 Linden Ave Fl 8, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at
(443) 682-6800.
Stefanie Rae Brocker is licensed to practice in Maryland (license number DX4893) 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 1154002475.
Healthcare Provider's Profile
| Full Name | Stefanie Rae Brocker |
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| Gender | Female |
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| Speciality | Nutritionist |
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| Location | 800 Linden Ave Fl 8, Baltimore, Maryland |
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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: 1154002475
- Provider Enumeration Date: 07/28/2023
- Last Update Date: 03/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 3274056510
- Enrollment ID: I20250327002836
Medical Identifiers
Medical identifiers for Stefanie Rae Brocker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1154002475 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 86043008 (* (Not Available)) | Secondary |
| 133N00000X | Nutritionist | DX4893 (Maryland) | 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. Stefanie Rae Brocker allows following entities to bill medicare on her behalf.
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. Stefanie Rae Brocker 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 |
Stefanie Rae Brocker, RD 4124 Falls Rd, Baltimore, MD 21211-1641 Ph: (540) 761-4269 | Stefanie Rae Brocker, RD 800 Linden Ave Fl 8, Baltimore, MD 21201-4622 Ph: (443) 682-6800 |
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