Brooke Bender, APRNCNP in Altamonte Springs, FL

Brooke Bender, APRNCNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Altamonte Springs, Florida. Her current practice location is 689 E Altamonte Dr, Altamonte Springs, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 767-7262.

Brooke Bender is licensed to practice in Florida (license number APRN11036325) 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 1225701584.

Contact Information

	Brooke Bender, APRNCNP
	689 E Altamonte Dr, Altamonte Springs, FL 32701-4801
	(407) 767-7262
	(407) 775-5002

Map and Direction

Provider's Profile

Full Name	Brooke Bender
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	689 E Altamonte Dr, Altamonte Springs, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225701584
Provider Enumeration Date: 07/30/2021
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 6204228141
Enrollment ID: I20220610001771

Medical Identifiers

Medical identifiers for Brooke Bender such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225701584	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1048533 (Texas)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN.CNP.0031389 (Ohio)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	APRN.CNP.0000079 (Ohio)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	APRN11036325 (Florida)	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. Brooke Bender allows following entities to bill medicare on her behalf.

Entity Name	Kettering Independent Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425

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. Brooke Bender 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
Brooke Bender, APRNCNP 4160 Little York Rd Ste 20, Dayton, OH 45414-5803 Ph: (937) 454-9527	Brooke Bender, APRNCNP 689 E Altamonte Dr, Altamonte Springs, FL 32701-4801 Ph: (407) 767-7262

Reviews and Comments

Nurse Practitioner Nurses in Altamonte Springs, FL

Mercedes D Wierman, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 631 Palm Springs Dr, Suite 101, Altamonte Springs, FL 32701 Phone: 407-331-1121
Tanya Rita Jilkevorkian, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 222 S Westmonte Dr Ste 230, Altamonte Springs, FL 32714 Phone: 689-263-5844
Mrs. Amanda Jean Patel, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 355 E Altamonte Dr Ste 1500, Altamonte Springs, FL 32701 Phone: 689-240-1719
Jessica Saccente, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 894 E Altamonte Dr, Altamonte Springs, FL 32701 Phone: 407-834-5151 Fax: 407-834-5562
Ms. Madeline Japp, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 W Orange St, Altamonte Springs, FL 32714 Phone: 352-431-3940
Holly Nichole Young, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 251 Maitland Ave Ste 116, Altamonte Springs, FL 32701 Phone: 407-915-5643 Fax: 407-960-2602
Kelly Renee Paeth, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 106 Boston Ave Ste 205, Altamonte Springs, FL 32701 Phone: 407-212-9532

Brooke Bender, APRNCNP - Medicare Nurse Practitioner in Altamonte Springs, FL