Audrey Brooke Garza, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Wright Patterson Afb, Ohio. Her current practice location is
4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 522-2778.
Audrey Brooke Garza is licensed to practice in * (Not Available) (license number ) 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 1689426801.
Physician's Profile
| Full Name | Audrey Brooke Garza |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
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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: 1689426801
- Provider Enumeration Date: 04/02/2024
- Last Update Date: 09/29/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092257378
- Enrollment ID: I20240603002851
Medical Identifiers
Medical identifiers for Audrey Brooke Garza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1689426801 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208D00000X | General Practice | DR.0076382 (Colorado) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Audrey Brooke Garza 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 |
Audrey Brooke Garza, 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 Ph: (937) 522-2778 | Audrey Brooke Garza, 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 522-2778 |
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