Carol Lynn Brokschmidt, MD in Fort Defiance, AZ - Medicare Obstetrics & Gynecology

Carol Lynn Brokschmidt, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Fort Defiance, Arizona. Her current practice location is Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 729-8757.

Carol Lynn Brokschmidt is licensed to practice in Arizona (license number 19747) 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 1124104112.

Contact Information

	Carol Lynn Brokschmidt, MD
	Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504
	(928) 729-8757
	Not Available

Map and Direction

Physician's Profile

Full Name	Carol Lynn Brokschmidt
Gender	Female
Speciality	Obstetrics & Gynecology
Location	Corner Of Rt. N12 And N7, Fort Defiance, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124104112
Provider Enumeration Date: 10/31/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2062483456
Enrollment ID: I20040731000376

Medical Identifiers

Medical identifiers for Carol Lynn Brokschmidt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124104112	NPI	-	NPPES
19747	Other	AZ	LICENSE
893356	Other	AZ	AHCCCS
52424553	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	19747 (Arizona)	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. Carol Lynn Brokschmidt allows following entities to bill medicare on her behalf.

Entity Name	Northbay Healthcare Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821147786 PECOS PAC ID: 0042122244 Enrollment ID: O20031105000409

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. Carol Lynn Brokschmidt 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
Carol Lynn Brokschmidt, MD 9522 E Minton St, Mesa, AZ 85207-2538 Ph: (480) 354-8766	Carol Lynn Brokschmidt, MD Corner Of Rt. N12 And N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 Ph: (928) 729-8757

Reviews and Comments

Obstetrics & Gynecology Doctors in Fort Defiance, AZ

Jennifer Leigh Griesel, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route 12, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Michael Ihsaan, MD MPH Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Corner Of Rt N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Dr. Scott Shin, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Fort Defiance Phs Hospital, Corner Of Route N12 & N7, Fort Defiance, AZ 86504 Phone: 928-729-8770
Claude Clayton Perkins, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000
Carl Theodore Opderbeck, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: Route 7 And Route 12, Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8020 Fax: 828-729-8794
Kathleen Cohen, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000

Carol Lynn Brokschmidt, MD - Medicare Obstetrics & Gynecology in Fort Defiance, AZ