Dr Brenna Katherine Yursik, MD, MPH is a medicare enrolled "Emergency Medicine" physician in Page, Arizona. Her current practice location is
501 N Navajo Dr, Page, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 839-6968.
Dr Brenna Katherine Yursik is licensed to practice in Arizona (license number R70715) 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 1003140443.
Physician's Profile
Full Name | Dr Brenna Katherine Yursik |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 501 N Navajo Dr, Page, Arizona |
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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: 1003140443
- Provider Enumeration Date: 10/01/2009
- Last Update Date: 02/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 8224163803
- Enrollment ID: I20100322000325
Medical Identifiers
Medical identifiers for Dr Brenna Katherine Yursik such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003140443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | R70715 (Arizona) | 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. Dr Brenna Katherine Yursik allows following entities to bill medicare on her behalf.
Entity Name | Emergency Professional Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518984210 PECOS PAC ID: 6901707272 Enrollment ID: O20040119000693 |
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Entity Name | Emergency Group Of Arizona Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
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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. Dr Brenna Katherine Yursik 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 |
Dr Brenna Katherine Yursik, MD, MPH Po Box 15070, Scottsdale, AZ 85267-5070 Ph: (602) 839-6968 | Dr Brenna Katherine Yursik, MD, MPH 501 N Navajo Dr, Page, AZ 86040-1447 Ph: (602) 839-6968 |
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