BROOKE HANNAH MARCUS (NPI# 1093283830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093283830 |
| Entity Type | Individual |
| Full Name | BROOKE HANNAH MARCUS |
| Practice Address |
1841 Madora Ave Douglas WY 82633-3057 |
| Practice Telephone | 3073582846 |
| Practice Fax Number | 3073581144 |
| Mailing Telephone | 3073582846 |
| Mailing Fax Number | 3073581144 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 106402907 | 05 | |
| WY | 106402908 | 05 |
| Street Address |
1841 MADORA AVE |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-3057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225003023 | Solutions for Life | Clinic/Center | 1841 Madora Ave, Douglas, WY 82633-3057 | 2006-02-23 |
| 1821602475 | Kelly Ross | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2020-09-01 |
| 1447863626 | Jayme Donaldson | Nurse Practitioner | 1841 Madora Ave, Douglas, WY 82633-3057 | 2020-08-26 |
| 1669010633 | Kara A Mitchell | Case Manager/Care Coordinator | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-12-20 |
| 1669014833 | Roman Moss | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-10-09 |
| 1699324996 | Magaly Guerrero | Social Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-09-09 |
| 1700443140 | Rhylee Ramsey | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-05-21 |
| 1902373962 | Jacqueline M Bowen | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-10-29 |
| 1508331216 | Wendy Hill | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-10-09 |
| 1366926198 | Barbara A Danielson | Community Health Worker | 1841 Madora Ave, Douglas, WY 82633-3057 | 2018-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549353 | Monica Sherise Dill | Case Manager/Care Coordinator | 566 Forest Hills Dr, Douglas, GA 31535-2420 | 2019-10-16 |
| 1831678093 | Rhonda R Covington | Case Manager/Care Coordinator | 320 Chalk Buttes Rd, Douglas, WY 82633-9263 | 2018-08-08 |
| 1134606759 | Joel A. Wilkes | Case Manager/Care Coordinator | 300 English St, Douglas, GA 31535-7036 | 2018-07-26 |
| 1205333515 | Melodie Good | Case Manager/Care Coordinator | 1253 Birch St, Douglas, WY 82633-2759 | 2018-04-12 |
| 1952754558 | Whitney Fussell | Case Manager/Care Coordinator | 179 Silverado Rd, Douglas, GA 31535-6215 | 2016-07-19 |
| 1154773737 | Jennifer Eason | Case Manager/Care Coordinator | 134 Cromwell Cir, Douglas, GA 31535-7410 | 2016-07-07 |
| 1316336936 | Cathy Feezerjones | Case Manager/Care Coordinator | 1242 Frontier Dr, Douglas, WY 82633-2722 | 2015-01-20 |
| 1194987198 | Katie Jenkins | Case Manager/Care Coordinator | 100 S Wind River Dr, D202, Douglas, WY 82633-2332 | 2008-06-30 |
| 1669010633 | Kara A Mitchell | Case Manager/Care Coordinator | 1841 Madora Ave, Douglas, WY 82633-3057 | 2019-12-20 |
| 1497267934 | Ashley M Groh | Case Manager/Care Coordinator | 1841 Madora Ave, Douglas, WY 82633-3057 | 2017-10-24 |
| Find all providers in DOUGLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.