Brooke Nicole Dorothy Smith, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Athens, Ohio. Her current practice location is
191 W Union St Ste 127, Athens, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 592-7010.
Brooke Nicole Dorothy Smith is licensed to practice in Ohio (license number 34.017127) 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 1073190351.
Physician's Profile
Full Name | Brooke Nicole Dorothy Smith |
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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 | 191 W Union St Ste 127, Athens, 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: 1073190351
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 04/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860923000
- Enrollment ID: I20240930000978
Medical Identifiers
Medical identifiers for Brooke Nicole Dorothy Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073190351 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 34.017127 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 34.017127 (Ohio) | 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. Brooke Nicole Dorothy Smith allows following entities to bill medicare on her behalf.
Entity Name | Genesis Primary Care Physicians, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790061513 PECOS PAC ID: 5294992293 Enrollment ID: O20120202000451 |
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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 Nicole Dorothy Smith 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 |
Brooke Nicole Dorothy Smith, 26 Hospital Drive, 2nd Floor, Athens, OH 45701 Ph: (740) 249-4122 | Brooke Nicole Dorothy Smith, 191 W Union St Ste 127, Athens, OH 45701-2732 Ph: (740) 592-7010 |
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