Dr Erin Nicole Brack, DO - Medicare Pediatrics in Tinker Afb, OK

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Dr Erin Nicole Brack, DO is a medicare enrolled "Pediatrics" physician in Tinker Afb, Oklahoma. Her current practice location is 7050 Air Depot Blvd Ste 1094, Tinker Afb, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (850) 883-8550.

Dr Erin Nicole Brack is licensed to practice in Indiana (license number 02003694A) 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 1265606701.

Contact Information

Dr Erin Nicole Brack, DO
7050 Air Depot Blvd Ste 1094,
Tinker Afb, OK 73145-8716
(850) 883-8550
Not Available

Map and Direction




Physician's Profile

Full NameDr Erin Nicole Brack
GenderFemale
SpecialityPediatrics
Location7050 Air Depot Blvd Ste 1094, Tinker Afb, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265606701
  • Provider Enumeration Date: 04/16/2008
  • Last Update Date: 07/02/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2466677059
  • Enrollment ID: I20240313000484

Medical Identifiers

Medical identifiers for Dr Erin Nicole Brack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265606701NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 02003694A (Indiana)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. Dr Erin Nicole Brack allows following entities to bill medicare on her behalf.
Entity NameOu Health Partners Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528642642
PECOS PAC ID: 5991105876
Enrollment ID: O20210615000618

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 Erin Nicole Brack 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 AddressPractice Location Address
Dr Erin Nicole Brack, DO
7050 Air Depot Blvd Ste 1094,
Tinker Afb, OK 73145-8716

Ph: () -		Dr Erin Nicole Brack, DO
7050 Air Depot Blvd Ste 1094,
Tinker Afb, OK 73145-8716

Ph: (850) 883-8550

Reviews and Comments


Pediatrics Doctors in Tinker Afb, OK

Dr. Stacey Anne Frazier, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5700 Arnold St, Tinker Afb, OK 73145
Phone: 405-736-2487    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.