Dr Ellen Temple Brubeck, MD is a medicare enrolled "Family Medicine" physician in Mount Olive, North Carolina. She went to Ohio State University College Of Medicine and graduated in 1975 and has 50 years of diverse experience with area of expertise as Family Practice. Her current practice location is
1140 N Breazeale Ave, Mount Olive, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 299-4800.
Dr Ellen Temple Brubeck is licensed to practice in North Carolina (license number 20911) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1184706830.
Physician's Profile
| Full Name | Dr Ellen Temple Brubeck |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 50 Years |
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| Location | 1140 N Breazeale Ave, Mount Olive, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Ellen Temple Brubeck attended and graduated from Ohio State University College Of Medicine in 1975
NPI Data:
- NPI Number: 1184706830
- Provider Enumeration Date: 10/20/2006
- Last Update Date: 12/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7416146089
- Enrollment ID: I20110112001025
Medical Identifiers
Medical identifiers for Dr Ellen Temple Brubeck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184706830 | NPI | - | NPPES |
| 3406028 | Medicaid | NC | |
| 8919280 | Medicaid | NC | |
| 19284 | Other | NC | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 20911 (North Carolina) | Primary |
Medical Facilities Affiliation
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. Dr Ellen Temple Brubeck allows following entities to bill medicare on her behalf.
| Entity Name | Family Works Psychological Center Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063488773
PECOS PAC ID: 9335134220
Enrollment ID: O20040419001628 |
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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. Dr Ellen Temple Brubeck 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 |
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Dr Ellen Temple Brubeck, MD
1140 N Breazeale Ave,
Mount Olive, NC 28365-1121
Ph: (919) 299-4800 | Dr Ellen Temple Brubeck, MD
1140 N Breazeale Ave,
Mount Olive, NC 28365-1121
Ph: (919) 299-4800 |
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