Brooke Fandrich, PMHNP in Rock Springs, WY - Medicare Nurse Practitioner

Brooke Fandrich, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rock Springs, Wyoming. Her current practice location is 1471 Dewar Dr, Rock Springs, Wyoming. You can reach out to her office (for appointments etc.) via phone at (307) 630-3466.

Brooke Fandrich is licensed to practice in Wyoming (license number 49873) 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 1033785860.

Contact Information

	Brooke Fandrich, PMHNP
	1471 Dewar Dr, Rock Springs, WY 82901-5814
	(307) 630-3466
	Not Available

Map and Direction

Provider's Profile

Full Name	Brooke Fandrich
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1471 Dewar Dr, Rock Springs, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033785860
Provider Enumeration Date: 06/02/2021
Last Update Date: 12/19/2022

Medicare PECOS Information:

PECOS PAC ID: 0840666392
Enrollment ID: I20221025000696

Medical Identifiers

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

Identifier	Type	State	Issuer
1033785860	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	49873 (Wyoming)	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 Fandrich allows following entities to bill medicare on her behalf.

Entity Name	Liv In-home Counseling & Care Management, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740604057 PECOS PAC ID: 5698992352 Enrollment ID: O20140804002438

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 Fandrich 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 Fandrich, PMHNP 2208 Weatherby Ave, Rock Springs, WY 82901-6841 Ph: (307) 212-1042	Brooke Fandrich, PMHNP 1471 Dewar Dr, Rock Springs, WY 82901-5814 Ph: (307) 630-3466

Reviews and Comments

Nurse Practitioner Nurses in Rock Springs, WY

Mrs. Dana Grenier, FNP-BC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2706 Ankeny Way, Rock Springs, WY 82901 Phone: 307-352-6689
Laura J Heitz, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2620 Commercial Way, Suite 051, Rock Springs, WY 82901 Phone: 307-382-2080 Fax: 307-382-5099
Emily C James, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1180 College Dr, Rock Springs, WY 82901 Phone: 307-352-8383 Fax: 307-352-8477
Jacquelyn M Barnhart, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1180 College Dr, Rock Springs, WY 82901 Phone: 307-382-2234 Fax: 307-382-2302
Louanna Marie Bradley, M.S., A.P.N-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 College Dr, Suite A, Rock Springs, WY 82901 Phone: 307-362-1861 Fax: 307-362-1277
Ibukun Oluwatosin Ojifinni, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2620 Commercial Way Ste 120, Rock Springs, WY 82901 Phone: 307-362-5116 Fax: 307-362-5145

Brooke Fandrich, PMHNP - Medicare Nurse Practitioner in Rock Springs, WY