Ian Brokaw, DPT is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Canton, Connecticut. His current practice location is
65 Albany Tpke, Canton, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 693-6226.
Ian Brokaw is licensed to practice in Connecticut (license number 10642) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356838262.
Physician's Profile
| Full Name | Ian Brokaw |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 65 Albany Tpke, Canton, Connecticut |
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| Accepts Medicare Assignments | Yes. He 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:
- Ian Brokaw attended and graduated from in
NPI Data:
- NPI Number: 1356838262
- Provider Enumeration Date: 04/16/2018
- Last Update Date: 04/16/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Ian Brokaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356838262 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 10642 (Connecticut) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 10642 (Connecticut) | Primary |
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. Ian Brokaw 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 |
|---|
Ian Brokaw, DPT
Po Box 466,
Canton, CT 06019-0466
Ph: (860) 693-6226 | Ian Brokaw, DPT
65 Albany Tpke,
Canton, CT 06019-2507
Ph: (860) 693-6226 |
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