Brooke Panfalone

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704327857 Issued in MI

Practice address

25130 Southfield Rd Ste 105
Southfield, MI 48075-1900

Phone

(248) 234-6799

NPI assigned

Aug 19, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hamid Sattar MD PCGroup PAC ID 9638350358, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hamid Sattar MD PC

  • Cardiovascular Disease Physician
  • Southfield, MI
  • NPI 1194020610
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1851019319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20360 RAMBLING DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480387507",
            "telephone_number": "586-854-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25130 SOUTHFIELD RD STE 105",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480751900",
            "telephone_number": "248-234-6799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANFALONE",
        "first_name": "BROOKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704327857",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704327857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Palmer
• Maureen Elizabeth Palmer, OTR, CIMT
• Shiba Christine Elenore Palmer, CPRM, CPSS, CAADC-DF
• Pamila Diwan, MD
• Panacea Compounding Pharmacy PLLC
• Jaclyn J Panfil, BSW, CADC-DP, CPRC
• Panoptic Psychology Group LLC
• Daniel E Panush, M.D.
• Paper Cranes Therapy Co, LLC
• Molly Pappas

• Nurse Practitioner in Southfield, MI
• Providers in Southfield, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.