Nicholas Brucker, MD is a medicare enrolled "Emergency Medicine" physician in Maumelle, Arkansas. His current practice location is
102 Summit Valley Cir, Maumelle, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 686-8000.
Nicholas Brucker is licensed to practice in Arkansas (license number E-5851) 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 1194926311.
Physician's Profile
Full Name | Nicholas Brucker |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 102 Summit Valley Cir, Maumelle, Arkansas |
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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: 1194926311
- Provider Enumeration Date: 05/29/2007
- Last Update Date: 05/10/2010
Medicare PECOS Information:
- PECOS PAC ID: 8921150921
- Enrollment ID: I20090722000759
Medical Identifiers
Medical identifiers for Nicholas Brucker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194926311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | E-5851 (Arkansas) | 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. Nicholas Brucker allows following entities to bill medicare on his behalf.
Entity Name | Baptist Medcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699868323 PECOS PAC ID: 5698667624 Enrollment ID: O20040325001348 |
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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. Nicholas 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 |
Nicholas Brucker, MD 102 Summit Valley Cir, Maumelle, AR 72113-5932 Ph: (501) 686-8000 | Nicholas Brucker, MD 102 Summit Valley Cir, Maumelle, AR 72113-5932 Ph: (501) 686-8000 |
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