Chantel Bruha, PLMHP, PCMSW is a medicare enrolled "Counselor - Mental Health" provider in Omaha, Nebraska. Her current practice location is
8502 Mormon Bridge Rd, Omaha, Nebraska. You can reach out to her office (for appointments etc.) via phone at
(402) 455-8303.
Chantel Bruha is licensed to practice in Nebraska (license number 11543) 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 1891272514.
Healthcare Provider's Profile
Full Name | Chantel Bruha |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 8502 Mormon Bridge Rd, Omaha, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891272514
- Provider Enumeration Date: 07/25/2018
- Last Update Date: 07/25/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466865308
- Enrollment ID: I20210113001846
Medical Identifiers
Medical identifiers for Chantel Bruha such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891272514 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 7257 (Nebraska) | Secondary |
101YM0800X | Counselor - Mental Health | 11543 (Nebraska) | 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. Chantel Bruha allows following entities to bill medicare on her behalf.
Entity Name | Unmc Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417912114 PECOS PAC ID: 6002728391 Enrollment ID: O20031104000664 |
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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. Chantel Bruha 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 Address | Practice Location Address |
Chantel Bruha, PLMHP, PCMSW 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 Ph: (402) 455-8303 | Chantel Bruha, PLMHP, PCMSW 8502 Mormon Bridge Rd, Omaha, NE 68152-1929 Ph: (402) 455-8303 |
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