Mrs Brandylyn S Bristow, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Owensville, Missouri. Her current practice location is
708 East Highway 28, Owensville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 486-1193.
Mrs Brandylyn S Bristow is licensed to practice in Missouri (license number 20080000932) 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 1154630770.
Healthcare Provider's Profile
Full Name | Mrs Brandylyn S Bristow |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 708 East Highway 28, Owensville, Missouri |
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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: 1154630770
- Provider Enumeration Date: 09/30/2010
- Last Update Date: 02/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 6608216262
- Enrollment ID: I20240430000528
Medical Identifiers
Medical identifiers for Mrs Brandylyn S Bristow such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1154630770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 20080000932 (Missouri) | 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. Mrs Brandylyn S Bristow allows following entities to bill medicare on her behalf.
Entity Name | Hermann Area Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083749188 PECOS PAC ID: 5496669962 Enrollment ID: O20031118000740 |
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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. Mrs Brandylyn S Bristow 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 |
Mrs Brandylyn S Bristow, LCSW 2591 Fowler Road, Hermann, MO 65041 Ph: (573) 943-9973 | Mrs Brandylyn S Bristow, LCSW 708 East Highway 28, Owensville, MO 65066 Ph: (573) 486-1193 |
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