Nicholas Paul Bruno, MD is a medicare enrolled "Dermatology" physician in Lincoln, Rhode Island. His current practice location is
3 Wake Robin Rd Unit 5, Lincoln, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 475-9140.
Nicholas Paul Bruno is licensed to practice in Rhode Island (license number 5860) 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 1053413484.
Physician's Profile
Full Name | Nicholas Paul Bruno |
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Gender | Male |
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Speciality | Dermatology |
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Location | 3 Wake Robin Rd Unit 5, Lincoln, Rhode Island |
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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: 1053413484
- Provider Enumeration Date: 09/05/2006
- Last Update Date: 04/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658477617
- Enrollment ID: I20070508000320
Medical Identifiers
Medical identifiers for Nicholas Paul Bruno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053413484 | NPI | - | NPPES |
9000499 | Medicaid | RI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ND0900X | Dermatology - Dermatopathology | 5860 (Rhode Island) | Secondary |
207N00000X | Dermatology | 5860 (Rhode Island) | 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 Paul Bruno allows following entities to bill medicare on his behalf.
Entity Name | Rhode Island Dermatology & Cosmetic Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972676021 PECOS PAC ID: 8123007523 Enrollment ID: O20040719000878 |
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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 Paul Bruno 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 Paul Bruno, MD 741 Smith Street, Providence, RI 02908-3592 Ph: (401) 421-7656 | Nicholas Paul Bruno, MD 3 Wake Robin Rd Unit 5, Lincoln, RI 02865-4208 Ph: (401) 475-9140 |
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