Brooks W Booker Iv, MD - Medicare Pediatrics in Bend, OR

Brooks W Booker Iv, MD is a medicare enrolled "Pediatrics" physician in Bend, Oregon. His current practice location is 1501 Ne Medical Center Dr, Bend, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 382-2811.

Brooks W Booker Iv is licensed to practice in Oregon (license number MD167654) 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 1376558429.

Contact Information

Brooks W Booker Iv, MD
1501 Ne Medical Center Dr,
Bend, OR 97701-6051
(541) 382-2811
Not Available



Physician's Profile

Full NameBrooks W Booker Iv
GenderMale
SpecialityPediatrics
Location1501 Ne Medical Center Dr, Bend, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376558429
  • Provider Enumeration Date: 07/29/2006
  • Last Update Date: 01/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7012946940
  • Enrollment ID: I20140828000080

Medical Identifiers

Medical identifiers for Brooks W Booker Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376558429NPI-NPPES
11057533OtherORCAQH
500672815MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD167654 (Oregon)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. Brooks W Booker Iv allows following entities to bill medicare on his behalf.
Entity NameBend Memorial Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699827477
PECOS PAC ID: 7214936533
Enrollment ID: O20061215000022

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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. Brooks W Booker Iv 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 AddressPractice Location Address
Brooks W Booker Iv, MD
Po Box 6048,
Bend, OR 97708-6048

Ph: (541) 382-2811
Brooks W Booker Iv, MD
1501 Ne Medical Center Dr,
Bend, OR 97701-6051

Ph: (541) 382-2811

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Pediatrics Doctors in Bend, OR

Benjamin Bruno Barsotti, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-6892    Fax: 541-706-6813
Dr. Brenna Kathryn Lewis, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-706-6892    Fax: 541-706-6813
Mr. Stacy C. Berube, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Ne Professional Ct, Bend, OR 97701
Phone: 541-389-6313    Fax: 541-389-8760
Dr. Kristi A Nix, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2084 Ne Professional Ct, Bend, OR 97701
Phone: 541-383-3005    Fax: 541-383-1883
Scott Chambers Olson, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2500 Ne Neff Rd, Bend, OR 97701
Phone: 541-382-4321    
Erika Stephanie Beard-irvine, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 403 Ne Revere Ave, Bend, OR 97701
Phone: 541-241-6371    Fax: 877-991-7408
Dr. Michelle R Mills, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 815 Sw Bond St, Bend, OR 97702
Phone: 541-382-4900    

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