Brogan Repp, is a medicare enrolled "Nurse Practitioner" in Round Lake, Illinois. She went to Rush Medical College Of Rush University and graduated in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Central Dupage Physician Group and her current practice location is
34159 N Hainesville Rd, Round Lake, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 722-0063.
Brogan Repp is licensed to practice in Illinois (license number 209027936) 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 1295431823.
Provider's Profile
| Full Name | Brogan Repp |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 34159 N Hainesville Rd, Round Lake, Illinois |
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| 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:
- Brogan Repp attended and graduated from Rush Medical College Of Rush University in 2022
NPI Data:
- NPI Number: 1295431823
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 01/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901251974
- Enrollment ID: I20231011000869
Medical Identifiers
Medical identifiers for Brogan Repp such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1295431823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041413004 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209027936 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Central Dupage Physician Group | 5890696231 | 1005 |
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. Brogan Repp allows following entities to bill medicare on her behalf.
| Entity Name | Central Dupage Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
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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. Brogan Repp 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 |
Brogan Repp, 34159 N Hainesville Rd, Round Lake, IL 60073-9790 Ph: (847) 722-0063 | Brogan Repp, 34159 N Hainesville Rd, Round Lake, IL 60073-9790 Ph: (847) 722-0063 |
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