Kellie J Brooks, NP - Medicare Nurse Practitioner in Riverside, CA

Kellie J Brooks, NP is a medicare enrolled "Nurse Practitioner" in Riverside, California. Her current practice location is 10800 Magnolia Ave, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (909) 353-2000.

Kellie J Brooks is licensed to practice in California (license number NP9746) 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 1043368947.

Contact Information

Kellie J Brooks, NP
10800 Magnolia Ave,
Riverside, CA 92505-3043
(909) 353-2000
Not Available



Provider's Profile

Full NameKellie J Brooks
GenderFemale
SpecialityNurse Practitioner
Location10800 Magnolia Ave, Riverside, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043368947
  • Provider Enumeration Date: 01/08/2007
  • Last Update Date: 11/30/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446215685
  • Enrollment ID: I20041129000951

Medical Identifiers

Medical identifiers for Kellie J Brooks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043368947NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NP9746 (California)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. Kellie J Brooks allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823

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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. Kellie J 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 AddressPractice Location Address
Kellie J Brooks, NP
10800 Magnolia Ave,
Riverside, CA 92505-3043

Ph: (909) 353-2000
Kellie J Brooks, NP
10800 Magnolia Ave,
Riverside, CA 92505-3043

Ph: (909) 353-2000

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Nurse Practitioner Nurses in Riverside, CA

Alice Chinyere Echeta, FNP, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504
Phone: 951-341-8930    
Obianuju Rivera, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501
Phone: 855-427-2778    Fax: 951-530-3997
Luamy Gabriela Cornejo, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501
Phone: 951-684-1293    
Christine Pham Duong, DNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503
Phone: 951-324-5901    Fax: 877-778-9472
Namrata Nicole Sihotang, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508
Phone: 844-827-8000    
Helen Landayan Lo, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7140 Indiana Avenue, Riverside, CA 92503
Phone: 951-358-6037    
Rebecca J Seawell, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 10800 Magnolia Ave, Riverside, CA 92505
Phone: 909-353-2000    

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