Amanda Dianne Brunner, in Roxboro, NC - Medicare Nurse Practitioner

Amanda Dianne Brunner, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Roxboro, North Carolina. Her current practice location is 355 S Madison Blvd # C1, Roxboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 704-5376.

Amanda Dianne Brunner is licensed to practice in North Carolina (license number 5018262) 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 1952022543.

Contact Information

	Amanda Dianne Brunner,
	355 S Madison Blvd # C1, Roxboro, NC 27573-5485
	(919) 704-5376
	Not Available

Map and Direction

Provider's Profile

Full Name	Amanda Dianne Brunner
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	355 S Madison Blvd # C1, Roxboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952022543
Provider Enumeration Date: 09/12/2022
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1355702622
Enrollment ID: I20230802003450

Medical Identifiers

Medical identifiers for Amanda Dianne Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952022543	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	21324919 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5018262 (North Carolina)	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. Amanda Dianne Brunner allows following entities to bill medicare on her behalf.

Entity Name	Freedom House Recovery Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093986523 PECOS PAC ID: 5193898229 Enrollment ID: O20090619000344

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. Amanda Dianne Brunner 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
Amanda Dianne Brunner, 355 S Madison Blvd # C1, Roxboro, NC 27573-5485 Ph: () -	Amanda Dianne Brunner, 355 S Madison Blvd # C1, Roxboro, NC 27573-5485 Ph: (919) 704-5376

Reviews and Comments

Nurse Practitioner Nurses in Roxboro, NC

Jean Ann Davison, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 N Main St, Roxboro, NC 27573 Phone: 336-599-9271
Jennifer Eure, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 N Main St, Roxboro, NC 27573 Phone: 336-599-9271
Ms. Elizabeth Walker Boozer, RN NPC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 702 N Main St, Roxboro, NC 27573 Phone: 336-599-9271
Sarah Beth Harris, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 107 Weeks Dr, Roxboro, NC 27573 Phone: 336-598-5480
Angela Yvette Blackburn, AGPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 Ridge Rd, Roxboro, NC 27573 Phone: 336-503-5623
Mrs. Rhonda Marie Kern, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 615 Ridge Rd, Roxboro, NC 27573 Phone: 336-599-2121
Jessica Leigh Ketner, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3762 Durham Rd Ste A, Roxboro, NC 27573 Phone: 336-330-0400

Amanda Dianne Brunner, - Medicare Nurse Practitioner in Roxboro, NC