Rachael M Bracke, MD is a medicare enrolled "Hospitalist" physician in Cody, Wyoming. Her current practice location is
3030 Big Horn Ave, Cody, Wyoming. You can reach out to her office (for appointments etc.) via phone at
(307) 578-1955.
Rachael M Bracke is licensed to practice in Wyoming (license number 8977A) 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 1487815742.
Physician's Profile
Full Name | Rachael M Bracke |
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Gender | Female |
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Speciality | Hospitalist |
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Location | 3030 Big Horn Ave, Cody, Wyoming |
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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: 1487815742
- Provider Enumeration Date: 06/19/2008
- Last Update Date: 01/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264600279
- Enrollment ID: I20121101000183
Medical Identifiers
Medical identifiers for Rachael M Bracke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487815742 | NPI | - | NPPES |
04053391 | Medicaid | MS | |
129285 | Medicaid | AL | |
051117619 | Other | AL | BCBS |
133448400 | Medicaid | WY | |
051117620 | Other | AL | BCBS |
129284 | Medicaid | AL | |
129286 | Medicaid | AL | |
051117618 | Other | AL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208M00000X | Hospitalist | 29717 (Alabama) | Secondary |
208M00000X | Hospitalist | 8977A (Wyoming) | 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. Rachael M Bracke allows following entities to bill medicare on her behalf.
Entity Name | Big Horn Basin Bone & Joint, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134249725 PECOS PAC ID: 9537266119 Enrollment ID: O20070515000572 |
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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. Rachael M Bracke 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 |
Rachael M Bracke, MD 3030 Big Horn Ave, Cody, WY 82414-9208 Ph: (307) 578-1955 | Rachael M Bracke, MD 3030 Big Horn Ave, Cody, WY 82414-9208 Ph: (307) 578-1955 |
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