Alexander J Brunner, MD is a medicare enrolled "Pediatrics" physician in Lewisburg, Tennessee. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 2001 and has 23 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Mercy Health Services, Inc. and his current practice location is
122 E Commerce St, Lewisburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 790-0567.
Alexander J Brunner is licensed to practice in Tennessee (license number 40245) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629182449.
Physician's Profile
| Full Name | Alexander J Brunner |
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| Gender | Male |
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| Speciality | Pediatric Medicine |
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| Experience | 23 Years |
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| Location | 122 E Commerce St, Lewisburg, Tennessee |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Alexander J Brunner attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 2001
NPI Data:
- NPI Number: 1629182449
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 06/06/2019
Medicare PECOS Information:
- PECOS PAC ID: 3375702590
- Enrollment ID: I20120307000886
Medical Identifiers
Medical identifiers for Alexander J Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629182449 | NPI | - | NPPES |
| 5440828 | Medicaid | TN | |
| 083121 | Other | TN | BOARD CERTIFICATION # |
| 40245 | Other | TN | MEDICAL LICENSE# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 40245 (Tennessee) | Secondary |
| 208000000X | Pediatrics | 40245 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mercy Health Services, Inc. | 3971760133 | 22 |
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. Alexander J Brunner allows following entities to bill medicare on his behalf.
| Entity Name | Mercy Health Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952480501
PECOS PAC ID: 3971760133
Enrollment ID: O20120131000668 |
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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. Alexander J Brunner 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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Alexander J Brunner, MD
1113 Murfreesboro Rd, Suite 319,
Franklin, TN 37064-1306
Ph: (615) 790-0567 | Alexander J Brunner, MD
122 E Commerce St,
Lewisburg, TN 37091-3340
Ph: (615) 790-0567 |
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