Individual
MS. MARSHA M. BRACKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
400 SOLDIER CREEK DR, ROSEBUD, SD 57570-8502
(605) 747-0441
Mailing address
PO BOX 43, ROSEBUD, SD 57570-0043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 591
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4009459
BLUE CROSS
TN
01
—
970015753
RAILROAD MEDICARE
TN
Enumeration date
05/24/2006
Last updated
03/17/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us