Kevin Anthony Brueske, in Wyoming, MN

Kevin Anthony Brueske, is a medicare enrolled "Pediatrics" physician in Wyoming, Minnesota. His current practice location is 5200 Fairview Blvd, Wyoming, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 982-7000.

Kevin Anthony Brueske is licensed to practice in Minnesota (license number 65419) 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 1588028955.

Contact Information

	Kevin Anthony Brueske,
	5200 Fairview Blvd, Wyoming, MN 55092
	(651) 982-7000
	Not Available

Map and Direction

Physician's Profile

Full Name	Kevin Anthony Brueske
Gender	Male
Speciality	Pediatrics
Location	5200 Fairview Blvd, Wyoming, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588028955
Provider Enumeration Date: 04/11/2016
Last Update Date: 07/24/2019

Medicare PECOS Information:

PECOS PAC ID: 9335475243
Enrollment ID: I20190731000535

Medical Identifiers

Medical identifiers for Kevin Anthony Brueske such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588028955	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	65419 (Minnesota)	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. Kevin Anthony Brueske allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Clinics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516

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. Kevin Anthony Brueske 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
Kevin Anthony Brueske, 400 Stinson Blvd Fl 2, Minneapolis, MN 55413-2614 Ph: () -	Kevin Anthony Brueske, 5200 Fairview Blvd, Wyoming, MN 55092 Ph: (651) 982-7000

Reviews and Comments

Pediatrics Doctors in Wyoming, MN

Sarah Connaughty Fuerstenberg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Mani Mokalla, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Benjamin Stanghelle, MD Pediatrics Medicare: May Accept Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000
Scott Ward Ahrenholz, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7800 Fax: 651-982-7539
Sarah Barnes Kinsella, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7600
Dr. Amy Beth Vislisel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 5200 Fairview Blvd, Wyoming, MN 55092 Phone: 651-982-7000

Kevin Anthony Brueske, - Medicare Pediatrics in Wyoming, MN