Robert L Brooks, MD is a medicare enrolled "Obstetrics & Gynecology" physician in San Luis, Arizona. His current practice location is
1896 E Babbit Lane, San Luis, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 722-6112.
Robert L Brooks is licensed to practice in Arizona (license number 31171) 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 1609870385.
Physician's Profile
| Full Name | Robert L Brooks |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1896 E Babbit Lane, San Luis, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609870385
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 05/04/2016
Medicare PECOS Information:
- PECOS PAC ID: 0345137543
- Enrollment ID: I20091217000648
Medical Identifiers
Medical identifiers for Robert L Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609870385 | NPI | - | NPPES |
| 766058 | Medicaid | AZ | |
| Z158921 | Other | AZ | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 31171 (Arizona) | 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. Robert L Brooks allows following entities to bill medicare on his behalf.
| Entity Name | San Luis Walk-in Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104228337
PECOS PAC ID: 2668361841
Enrollment ID: O20040514000795 |
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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. Robert L Brooks 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 |
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Robert L Brooks, MD
Po Box 1669,
San Luis, AZ 85349-1669
Ph: (928) 722-6112 | Robert L Brooks, MD
1896 E Babbit Lane,
San Luis, AZ 85349-1669
Ph: (928) 722-6112 |
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