Katherine Colleen Bruss, DO in Clarksville, TN

Katherine Colleen Bruss, DO is a medicare enrolled "Pediatrics" physician in Clarksville, Tennessee. Her current practice location is 490 Dunlop Ln, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 245-7000.

Katherine Colleen Bruss is licensed to practice in Tennessee (license number 4823) 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 1720441926.

Contact Information

	Katherine Colleen Bruss, DO
	490 Dunlop Ln, Clarksville, TN 37040-5007
	(931) 245-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Katherine Colleen Bruss
Gender	Female
Speciality	Pediatrics
Location	490 Dunlop Ln, Clarksville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720441926
Provider Enumeration Date: 04/04/2016
Last Update Date: 09/20/2022

Medicare PECOS Information:

PECOS PAC ID: 2668760554
Enrollment ID: I20220824003832

Medical Identifiers

Medical identifiers for Katherine Colleen Bruss such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720441926	NPI	-	NPPES
1720441926	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	65373 (Minnesota)	Secondary
208000000X	Pediatrics	4823 (Tennessee)	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. Katherine Colleen Bruss allows following entities to bill medicare on her behalf.

Entity Name	Premier Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740242957 PECOS PAC ID: 9739084088 Enrollment ID: O20031201000512

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. Katherine Colleen Bruss 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
Katherine Colleen Bruss, DO Po Box 3799, Clarksville, TN 37043-3799 Ph: () -	Katherine Colleen Bruss, DO 490 Dunlop Ln, Clarksville, TN 37040-5007 Ph: (931) 245-7000

Reviews and Comments

Pediatrics Doctors in Clarksville, TN

Dr. Joel F Bradley, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-8465
Megan Guerra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8400
Genevieve Mae Febbraro, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 490 Dunlop Ln, Clarksville, TN 37040 Phone: 931-245-8400
Dr. Barbara A Aquino, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 881 Professional Park Dr, Clarksville, TN 37040 Phone: 931-645-4685 Fax: 931-245-2117
Dr. Shahana Ashraf Choudhury, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 800 Weatherly Dr, Clarksville, TN 37043 Phone: 931-648-1912 Fax: 931-648-1277
William Joel Pedigo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-7068
Dr. William W Prine, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2199 Memorial Dr, Clarksville, TN 37043 Phone: 931-245-8400 Fax: 931-245-8465

Katherine Colleen Bruss, DO - Medicare Pediatrics in Clarksville, TN