Dr Michael Brooke, PSYD in Vancouver, WA - Medicare Psychologist Provider

Dr Michael Brooke, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Vancouver, Washington. His current practice location is 2101 Ne 139th St Ste 460, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 487-2727.

Dr Michael Brooke is licensed to practice in Washington (license number PY00003704) 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 1275645061.

Contact Information

	Dr Michael Brooke, PSYD
	2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325
	(360) 487-2727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Michael Brooke
Gender	Male
Speciality	Psychologist - Clinical
Location	2101 Ne 139th St Ste 460, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275645061
Provider Enumeration Date: 08/31/2006
Last Update Date: 04/18/2025

Medicare PECOS Information:

PECOS PAC ID: 3072650118
Enrollment ID: I20091022000548

Medical Identifiers

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

Identifier	Type	State	Issuer
1275645061	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	1830 (Oregon)	Secondary
103TC0700X	Psychologist - Clinical	PY00003704 (Washington)	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. Dr Michael Brooke allows following entities to bill medicare on his behalf.

Entity Name	Department Of Social Dept Of Shs Div Of Instns
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467440602 PECOS PAC ID: 9133013725 Enrollment ID: O20040213000028

Entity Name	Legacy Salmon Creek Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356357784 PECOS PAC ID: 0446295711 Enrollment ID: O20051223000194

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. Dr Michael Brooke 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
Dr Michael Brooke, PSYD Po Box 2077, Portland, OR 97208-2077 Ph: (503) 413-3900	Dr Michael Brooke, PSYD 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 Ph: (360) 487-2727

Reviews and Comments

Psychologist in Vancouver, WA

Alena Lee, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 315 Se Stonemill Dr, Vancouver, WA 98684 Phone: 360-729-8020 Fax: 360-729-8021
Dr. Bart James Fowler, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11802 Ne 117th Ave, Vancouver, WA 98662 Phone: 360-891-2000 Fax: 360-944-6965
Margaret Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 955 Officers Row, Vancouver, WA 98661 Phone: 360-213-7893
Dr. Lucretia Hyzy Krebs, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1701 E Evergreen Blvd, Vancouver, WA 98661 Phone: 360-513-5572 Fax: 360-263-2681
Shelly Nicol, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7507 Ne 51st St, Vancouver, WA 98662 Phone: 360-906-1190
Dr. Maria Lise Flores, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 400 E Evergreen Blvd Ste 102, Vancouver, WA 98660 Phone: 564-232-8225
Mrs. Anneliese J Corcoran, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9340 Ne 76th St, Vancouver, Vancouver, WA 98662 Phone: 360-253-4912 Fax: 360-253-4912

Dr Michael Brooke, PSYD - Medicare Psychologist in Vancouver, WA