Kelli Brockman, - Medicare Pediatrics in Bloomsdale, MO

Kelli Brockman, is a medicare enrolled "Pediatrics" physician in Bloomsdale, Missouri. Her current practice location is 255 Boderman, Bloomsdale, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 483-9492.

Kelli Brockman is licensed to practice in Missouri (license number 2015011883) 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 1477818599.

Contact Information

Kelli Brockman,
255 Boderman,
Bloomsdale, MO 63627-9099
(573) 483-9492
Not Available



Physician's Profile

Full NameKelli Brockman
GenderFemale
SpecialityPediatrics
Location255 Boderman, Bloomsdale, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477818599
  • Provider Enumeration Date: 07/05/2012
  • Last Update Date: 04/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981918299
  • Enrollment ID: I20150730013107

Medical Identifiers

Medical identifiers for Kelli Brockman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477818599NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2015011883 (Missouri)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. Kelli Brockman allows following entities to bill medicare on her behalf.
Entity NameSte Genevieve County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184658387
PECOS PAC ID: 3274432802
Enrollment ID: O20040102000645

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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. Kelli Brockman 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
Kelli Brockman,
255 Boderman,
Bloomsdale, MO 63627-9099

Ph: (573) 483-9492
Kelli Brockman,
255 Boderman,
Bloomsdale, MO 63627-9099

Ph: (573) 483-9492

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CQ Politics reports that Rep. Mary Jo Kilroy, D-Ohio, is one of several women lawmakers who is using her own history with multiple sclerosis to lobby for changes in the health care system: "As the health care debate rages on, [Kilroy] has decided to use her personal story to help fellow lawmakers understand how important it is to make health care available for all Americans. In a 'Dear Colleague' letter she sent last week, Kilroy told them about her own diagnosis."

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Pediatrics Doctors in Bloomsdale, MO


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