Dr Laurie S Braker, MD is a medicare enrolled "Family Medicine" physician in Lake Odessa, Michigan. She went to Northwestern University Feinberg Medical School and graduated in 2002 and has 22 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Pennock Hospital and her current practice location is
4294 Laurel Dr, Lake Odessa, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 374-7660.
Dr Laurie S Braker is licensed to practice in Michigan (license number 4301080130) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073624573.
Physician's Profile
| Full Name | Dr Laurie S Braker |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 22 Years |
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| Location | 4294 Laurel Dr, Lake Odessa, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Laurie S Braker attended and graduated from Northwestern University Feinberg Medical School in 2002
NPI Data:
- NPI Number: 1073624573
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 02/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648216655
- Enrollment ID: I20050629001225
Medical Identifiers
Medical identifiers for Dr Laurie S Braker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073624573 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 4301080130 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Pennock Hospital | 4587551015 | 40 |
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 Laurie S Braker allows following entities to bill medicare on her behalf.
| Entity Name | Pennock Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518186295
PECOS PAC ID: 4587551015
Enrollment ID: O20040301000595 |
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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 Laurie S Braker 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 Laurie S Braker, MD
100 Michigan St Ne # Mc845,
Grand Rapids, MI 49503-2560
Ph: () - | Dr Laurie S Braker, MD
4294 Laurel Dr,
Lake Odessa, MI 48849-8430
Ph: (616) 374-7660 |
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