Mr Luis Antonio Brenner, LCSW, LAC is a
Acupuncturist based in Indianapolis, Indiana. Mr Luis Antonio Brenner is licensed to practice in Indiana (license number 84000078A) and his current practice location is
7210 Madison Ave, Suite F, Indianapolis, Indiana. He can be reached at his office (for appointments etc.) via phone at
(317) 791-1171.
NPI number for Mr Luis Antonio Brenner is 1992782510 and his current mailing address is Po Box 7051, Greenwood, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1992782510.
Healthcare Provider's Profile
| Full Name | Mr Luis Antonio Brenner |
|---|
| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 7210 Madison Ave, Indianapolis, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992782510
- Provider Enumeration Date: 12/23/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Luis Antonio Brenner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992782510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 34003325A (Indiana) | Primary |
| 171100000X | Acupuncturist | 84000078A (Indiana) | Primary |
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. Mr Luis Antonio Brenner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Luis Antonio Brenner, LCSW, LAC
Po Box 7051,
Greenwood, IN 46142-6421
Ph: (317) 791-1171 | Mr Luis Antonio Brenner, LCSW, LAC
7210 Madison Ave, Suite F,
Indianapolis, IN 46227-5267
Ph: (317) 791-1171 |
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