Jacqueline Brom, MD in Beachwood, OH - Medicare Family Practice

Jacqueline Brom, MD is a medicare enrolled "Family Medicine" physician in Beachwood, Ohio. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 2014 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ihc Health Services Inc and her current practice location is 26900 Cedar Rd, Beachwood, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 839-3000.

Jacqueline Brom is licensed to practice in Ohio (license number 35135732) 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 1366869497.

Contact Information

	Jacqueline Brom, MD
	26900 Cedar Rd, Beachwood, OH 44122-1191
	(216) 839-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacqueline Brom
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	26900 Cedar Rd, Beachwood, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Brom attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 2014

NPI Data:

NPI Number: 1366869497
Provider Enumeration Date: 03/26/2014
Last Update Date: 07/24/2019

Medicare PECOS Information:

PECOS PAC ID: 3476858978
Enrollment ID: I20201203001342

Medical Identifiers

Medical identifiers for Jacqueline Brom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366869497	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	336.104842 (Illinois)	Secondary
207Q00000X	Family Medicine	036143463 (Illinois)	Secondary
207Q00000X	Family Medicine	35135732 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Utah Valley Hospital	Provo, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Health Services Inc	1850209420	3531

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. Jacqueline Brom allows following entities to bill medicare on her behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942325154 PECOS PAC ID: 1850209420 Enrollment ID: O20080610000303

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. Jacqueline Brom 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
Jacqueline Brom, MD 26900 Cedar Rd, Beachwood, OH 44122-1191 Ph: () -	Jacqueline Brom, MD 26900 Cedar Rd, Beachwood, OH 44122-1191 Ph: (216) 839-3000

Reviews and Comments

Family Medicine Doctors in Beachwood, OH

Dr. Barbara A Vizy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3690 Orange Pl, Suite # 230, Beachwood, OH 44122 Phone: 216-765-1180 Fax: 216-765-1163
Dr. Richard M Garwood, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4200 Warrensville Center Rd, Suite 395, Beachwood, OH 44122 Phone: 216-491-7888 Fax: 216-491-7887
Young Shin Kim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd Ste 22n, Beachwood, OH 44122 Phone: 216-839-3000
Anam Butt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 26900 Cedar Rd, Beachwood, OH 44122 Phone: 216-839-3000
Dr. Saif Naseeruddin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Auburn Dr Ste 110, Beachwood, OH 44122 Phone: 216-285-5050 Fax: 216-285-4044
Sarah Roya Faizi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Auburn Dr Ste 110, Beachwood, OH 44122 Phone: 440-604-8965
Dr. Pantelhs Pete Varlas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3909 Orange Pl Ste 2100, Beachwood, OH 44122 Phone: 216-383-0100 Fax: 216-383-6481

Jacqueline Brom, MD - Medicare Family Practice in Beachwood, OH