Ms Jennifer Susan Bracamontes, MD in Fairbanks, AK

Ms Jennifer Susan Bracamontes, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Fairbanks, Alaska. Her current practice location is 1717 W Cowles St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 729-8961.

Ms Jennifer Susan Bracamontes is licensed to practice in Alaska (license number 219654) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942663190.

Contact Information

	Ms Jennifer Susan Bracamontes, MD
	1717 W Cowles St, Fairbanks, AK 99701-5926
	(907) 729-8961
	Not Available

Map and Direction

Physician's Profile

Full Name	Ms Jennifer Susan Bracamontes
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	1717 W Cowles St, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942663190
Provider Enumeration Date: 04/04/2016
Last Update Date: 05/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9638460793
Enrollment ID: I20220831004031

Medical Identifiers

Medical identifiers for Ms Jennifer Susan Bracamontes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942663190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	MD61271571 (Washington)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	219654 (Alaska)	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. Ms Jennifer Susan Bracamontes allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

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. Ms Jennifer Susan Bracamontes 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
Ms Jennifer Susan Bracamontes, MD 7033 E Tudor Rd, Anchorage, AK 99507-1262 Ph: (907) 729-8961	Ms Jennifer Susan Bracamontes, MD 1717 W Cowles St, Fairbanks, AK 99701-5926 Ph: (907) 729-8961

Reviews and Comments

Pediatrics Doctors in Fairbanks, AK

Dr. James Timothy Foote, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. Marvin Bergeson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526
Dr. Laura Brunner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3526
Dr. Mishelle Nace, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. Corneliu Antonescu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Dr. John Matthew De Pasquale, MD, MPH, DTM&H Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Noble St, Fairbanks, AK 99701 Phone: 907-459-3520 Fax: 907-459-3554
Manal Shihadeh, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701 Phone: 907-374-2637 Fax: 907-374-2632

Ms Jennifer Susan Bracamontes, MD - Medicare Pediatrics in Fairbanks, AK