Mr Dakota Benjamin Brooker, PA-C is a medicare enrolled "Physician Assistant" in Bellaire, Ohio. His current practice location is
3000 Guernsey St, Bellaire, Ohio. You can reach out to his office (for appointments etc.) via phone at
(740) 633-4765.
Mr Dakota Benjamin Brooker is licensed to practice in Ohio (license number 50.007121RX) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558026377.
Provider's Profile
Full Name | Mr Dakota Benjamin Brooker |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 3000 Guernsey St, Bellaire, Ohio |
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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: 1558026377
- Provider Enumeration Date: 11/05/2021
- Last Update Date: 11/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 2466843511
- Enrollment ID: I20211228000027
Medical Identifiers
Medical identifiers for Mr Dakota Benjamin Brooker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558026377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 2562 (West Virginia) | Secondary |
363A00000X | Physician Assistant | 50.007121RX (Ohio) | 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. Mr Dakota Benjamin Brooker 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 |
Mr Dakota Benjamin Brooker, PA-C Po Box 6826, Wheeling, WV 26003-0921 Ph: (740) 633-4765 | Mr Dakota Benjamin Brooker, PA-C 3000 Guernsey St, Bellaire, OH 43906-1540 Ph: (740) 633-4765 |
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