Fritz Daniel Brink, DO is a medicare enrolled "General Practice" physician in South Pasadena, Florida. His current practice location is
1609 Pasadena Ave S Ste 3m, South Pasadena, Florida. You can reach out to his office (for appointments etc.) via phone at
(586) 576-4140.
Fritz Daniel Brink is licensed to practice in Michigan (license number 5101022720) 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 1063862415.
Physician's Profile
Full Name | Fritz Daniel Brink |
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Gender | Male |
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Speciality | General Practice |
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Location | 1609 Pasadena Ave S Ste 3m, South Pasadena, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063862415
- Provider Enumeration Date: 06/16/2016
- Last Update Date: 08/31/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032400171
- Enrollment ID: I20221011003029
Medical Identifiers
Medical identifiers for Fritz Daniel Brink such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063862415 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 5101022720 (Michigan) | 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. Fritz Daniel Brink allows following entities to bill medicare on his behalf.
Entity Name | Greater Tampa Bay Physician Specialists Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1528492287 PECOS PAC ID: 2961637715 Enrollment ID: O20131101000759 |
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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. Fritz Daniel Brink 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 |
Fritz Daniel Brink, DO 1501 Pasadena Ave S, South Pasadena, FL 33707-3717 Ph: () - | Fritz Daniel Brink, DO 1609 Pasadena Ave S Ste 3m, South Pasadena, FL 33707-4563 Ph: (586) 576-4140 |
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