Mary Brooks, APRN-FPA is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Hettick, Illinois. Her current practice location is
25870 Hettick Scottville Rd, Hettick, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 416-0641.
Mary Brooks is licensed to practice in Illinois (license number 277002936) 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 1124579099.
Provider's Profile
| Full Name | Mary Brooks |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 25870 Hettick Scottville Rd, Hettick, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124579099
- Provider Enumeration Date: 10/17/2016
- Last Update Date: 10/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 4385918556
- Enrollment ID: I20170927000818
Medical Identifiers
Medical identifiers for Mary Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124579099 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 209016051 (Illinois) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277002936 (Illinois) | Primary |
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. Mary Brooks 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 |
Mary Brooks, APRN-FPA 3309 Robbins Rd # 590, Springfield, IL 62704-6587 Ph: (217) 408-4530 | Mary Brooks, APRN-FPA 25870 Hettick Scottville Rd, Hettick, IL 62649-4791 Ph: (217) 416-0641 |
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