Krista M Brucker, MD is a medicare enrolled "Preventive Medicine - Addiction Medicine" physician in Greenfield, Indiana. She went to Harvard Medical School and graduated in 2010 and has 14 years of diverse experience with area of expertise as Preventive Medicine. She is a member of the group practice South Bend Emergency Physicians Inc and her current practice location is
147 W Green Meadows Dr Ste 2, Greenfield, Indiana. You can reach out to her office (for appointments etc.) via phone at
(317) 318-0367.
Krista M Brucker is licensed to practice in Indiana (license number 01071924A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1497076376.
Physician's Profile
Full Name | Krista M Brucker |
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Gender | Female |
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Speciality | Preventive Medicine |
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Experience | 14 Years |
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Location | 147 W Green Meadows Dr Ste 2, Greenfield, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Krista M Brucker attended and graduated from Harvard Medical School in 2010
NPI Data:
- NPI Number: 1497076376
- Provider Enumeration Date: 06/15/2010
- Last Update Date: 06/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779713383
- Enrollment ID: I20140227000935
Medical Identifiers
Medical identifiers for Krista M Brucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497076376 | NPI | - | NPPES |
201212140 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 01071924A (Indiana) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | MD-49601 (Iowa) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 01071924A (Indiana) | Secondary |
2083A0300X | Preventive Medicine - Addiction Medicine | 01071924A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
South Bend Emergency Physicians Inc | 0941282354 | 45 |
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. Krista M Brucker allows following entities to bill medicare on her behalf.
Entity Name | Oaklawn Psychiatric Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1598847212 PECOS PAC ID: 6002801065 Enrollment ID: O20040419000647 |
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Entity Name | Indiana University Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
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Entity Name | Icem-wishard Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629304134 PECOS PAC ID: 8224162441 Enrollment ID: O20100810000590 |
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Entity Name | South Bend Emergency Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487132114 PECOS PAC ID: 0941282354 Enrollment ID: O20181212000947 |
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Entity Name | Recover Together Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891102497 PECOS PAC ID: 7810247533 Enrollment ID: O20201029002221 |
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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. Krista M Brucker 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 |
Krista M Brucker, MD 615 N Michigan St, South Bend, IN 46601-1033 Ph: () - | Krista M Brucker, MD 147 W Green Meadows Dr Ste 2, Greenfield, IN 46140-4000 Ph: (317) 318-0367 |
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