Dr Jon Elliott Dale Brubaker, MD - Medicare Internal Medicine in Scott Afb, IL

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Dr Jon Elliott Dale Brubaker, MD is a medicare enrolled "Internal Medicine" physician in Scott Afb, Illinois. His current practice location is 310 W Losey St, Scott Afb, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 256-9355.

Dr Jon Elliott Dale Brubaker is licensed to practice in Illinois (license number 036.165622) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265062178.

Contact Information

Dr Jon Elliott Dale Brubaker, MD
310 W Losey St,
Scott Afb, IL 62225-5250
(618) 256-9355
(618) 256-7629

Map and Direction




Physician's Profile

Full NameDr Jon Elliott Dale Brubaker
GenderMale
SpecialityInternal Medicine
Location310 W Losey St, Scott Afb, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265062178
  • Provider Enumeration Date: 01/20/2020
  • Last Update Date: 07/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1153752696
  • Enrollment ID: I20231019003196

Medical Identifiers

Medical identifiers for Dr Jon Elliott Dale Brubaker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265062178NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist 036.165622 (Illinois)Secondary
207R00000XInternal Medicine 036.165622 (Illinois)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 Jon Elliott Dale Brubaker allows following entities to bill medicare on his behalf.
Entity NameSouthern Illinois Healthcare Foundation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609813500
PECOS PAC ID: 1456256874
Enrollment ID: O20031126000641

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 Jon Elliott Dale Brubaker 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 Jon Elliott Dale Brubaker, MD
310 W Losey St,
Scott Afb, IL 62225-5250

Ph: (618) 256-9355		Dr Jon Elliott Dale Brubaker, MD
310 W Losey St,
Scott Afb, IL 62225-5250

Ph: (618) 256-9355

Reviews and Comments


Internal Medicine Doctors in Scott Afb, IL

Dr. Adam Kirk Derrickson, M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 310 W Losey St, Scott Afb, IL 62225
Phone: 618-256-7799    
Kenneth Paul Mcdonnell, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 203 W Losey St, Suite 1624, Scott Afb, IL 62225
Phone: 618-206-2225    
Assy Yacoub, D.O.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 310 W Losey St, Scott Afb, IL 62225
Phone: 618-256-3434    

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.