Brandeis Brockman, CRNP in Bala Cynwyd, PA - Medicare Nurse Practitioner

Brandeis Brockman, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Bala Cynwyd, Pennsylvania. Her current practice location is 15 Presidential Blvd, Bala Cynwyd, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (610) 668-8300.

Brandeis Brockman is licensed to practice in Pennsylvania (license number SP012117) 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 1114289402.

Contact Information

	Brandeis Brockman, CRNP
	15 Presidential Blvd, Bala Cynwyd, PA 19004-1006
	(610) 668-8300
	Not Available

Map and Direction

Provider's Profile

Full Name	Brandeis Brockman
Gender	Female
Speciality	Nurse Practitioner - Family
Location	15 Presidential Blvd, Bala Cynwyd, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114289402
Provider Enumeration Date: 06/12/2012
Last Update Date: 05/13/2026

Medicare PECOS Information:

PECOS PAC ID: 6800180860
Enrollment ID: I20180307001638

Medical Identifiers

Medical identifiers for Brandeis Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114289402	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	SP012117 (Pennsylvania)	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. Brandeis Brockman allows following entities to bill medicare on her behalf.

Entity Name	Clinical Care Associates Of The University Of Pennsylvania Health.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972682995 PECOS PAC ID: 4688588866 Enrollment ID: O20031113000301

Entity Name	Public Health Management Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881779866 PECOS PAC ID: 1850307406 Enrollment ID: O20060504000213

Entity Name	University Of Penn - Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191216001523

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. Brandeis Brockman 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
Brandeis Brockman, CRNP 2630 W Girard Ave Unit 9137, Philadelphia, PA 19130-1483 Ph: () -	Brandeis Brockman, CRNP 15 Presidential Blvd, Bala Cynwyd, PA 19004-1006 Ph: (610) 668-8300

Reviews and Comments

Nurse Practitioner Nurses in Bala Cynwyd, PA

Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999
Christina Morgan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 33 Rock Hill Rd Ste 100, Bala Cynwyd, PA 19004 Phone: 215-847-6749
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199
Melissa Brubaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 191 Presidential Blvd Ste W3, Bala Cynwyd, PA 19004 Phone: 215-550-1614 Fax: 445-201-3851
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481

Brandeis Brockman, CRNP - Medicare Nurse Practitioner in Bala Cynwyd, PA