Laxmi Bruner, RD, CDE is a medicare enrolled "Nutritionist" provider in Tampa, Florida. Her current practice location is
5016 W Cypress St Ste 300, Tampa, Florida. You can reach out to her office (for appointments etc.) via phone at
(813) 644-6235.
Laxmi Bruner is licensed to practice in Florida (license number ND6923) 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 1730693656.
Healthcare Provider's Profile
| Full Name | Laxmi Bruner |
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| Gender | Female |
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| Speciality | Nutritionist |
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| Location | 5016 W Cypress St Ste 300, Tampa, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1730693656
- Provider Enumeration Date: 11/30/2017
- Last Update Date: 06/22/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002176237
- Enrollment ID: I20180208002514
Medical Identifiers
Medical identifiers for Laxmi Bruner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730693656 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | ND6923 (Florida) | Secondary |
| 133N00000X | Nutritionist | ND6923 (Florida) | 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. Laxmi Bruner allows following entities to bill medicare on her behalf.
| Provider Name | Womens Care Florida Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1013902923
PECOS PAC ID: 9234031444
Enrollment ID: O20040127000078 |
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| Provider Name | Womens' Health Hospitalists, Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1205295599
PECOS PAC ID: 1850674870
Enrollment ID: O20170216001354 |
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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. Laxmi Bruner 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 |
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Laxmi Bruner, RD, CDE
Po Box 748817,
Atlanta, GA 30374-8817
Ph: (813) 286-0033 | Laxmi Bruner, RD, CDE
5016 W Cypress St Ste 300,
Tampa, FL 33607-3809
Ph: (813) 644-6235 |
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