Dr Joseph Gerard Brungardt, MD is a medicare enrolled "Surgery" physician in Pratt, Kansas. His current practice location is
124 Commodore St Ste B, Pratt, Kansas. You can reach out to his office (for appointments etc.) via phone at
(620) 672-6454.
Dr Joseph Gerard Brungardt is licensed to practice in Kansas (license number 04-49070) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578095030.
Physician's Profile
| Full Name | Dr Joseph Gerard Brungardt |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 124 Commodore St Ste B, Pratt, Kansas |
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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: 1578095030
- Provider Enumeration Date: 04/03/2017
- Last Update Date: 04/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103184957
- Enrollment ID: I20240318002106
Medical Identifiers
Medical identifiers for Dr Joseph Gerard Brungardt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578095030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 35.145078 (Ohio) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Georgia) | Secondary |
| 208600000X | Surgery | 04-49070 (Kansas) | 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 Joseph Gerard Brungardt allows following entities to bill medicare on his behalf.
| Entity Name | Pratt Regional Medical Center Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578596904
PECOS PAC ID: 1355253238
Enrollment ID: O20040419001344 |
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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 Joseph Gerard Brungardt 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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Dr Joseph Gerard Brungardt, MD
124 Commodore St Ste B,
Pratt, KS 67124-2995
Ph: (620) 672-6454 | Dr Joseph Gerard Brungardt, MD
124 Commodore St Ste B,
Pratt, KS 67124-2995
Ph: (620) 672-6454 |
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