Brooke Elconin, PA-C is a medicare enrolled "Orthopaedic Surgery" in Oakland, California. This provider graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. This provider is a member of the group practice Sutter Bay Medical Foundation and their current practice location is
350 30th St Ste 100, Oakland, California. You can reach out to their office (for appointments etc.) via phone at
(510) 204-1844.
Brooke Elconin is licensed to practice in California (license number 66102) and this provider also participates in the medicare program. This provider
accepts medicare assignments (which means this provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and their NPI Number is 1730987637.
Provider's Profile
| Full Name | Brooke Elconin |
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| Gender | |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 350 30th St Ste 100, Oakland, California |
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| Accepts Medicare Assignments | Yes. This provider accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brooke Elconin graduated from nursing school in 2024
NPI Data:
- NPI Number: 1730987637
- Provider Enumeration Date: 03/05/2025
- Last Update Date: 03/19/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224550884
- Enrollment ID: I20250324002174
Medical Identifiers
Medical identifiers for Brooke Elconin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730987637 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | PA66102 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | 66102 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sutter Bay Medical Foundation | 4284538778 | 3783 |
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 Elconin allows following entities to bill medicare on their behalf.
| Entity Name | Sutter Bay Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909 |
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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. Brooke Elconin 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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Brooke Elconin, PA-C
1826 Eddy St Unit 102,
San Francisco, CA 94115-3947
Ph: (818) 522-5079 | Brooke Elconin, PA-C
350 30th St Ste 100,
Oakland, CA 94609-3422
Ph: (510) 204-1844 |
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