Amy Bruggemann, FNP in Belleville, IL - Medicare Nurse Practitioner

Amy Bruggemann, FNP is a medicare enrolled "Nurse Practitioner - Family" in Belleville, Illinois. Her current practice location is 40 N 64th St, Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 397-8400.

Amy Bruggemann is licensed to practice in Illinois (license number 209005238) 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 1972509339.

Contact Information

	Amy Bruggemann, FNP
	40 N 64th St, Belleville, IL 62223-3808
	(618) 397-8400
	Not Available

Map and Direction

Provider's Profile

Full Name	Amy Bruggemann
Gender	Female
Speciality	Nurse Practitioner - Family
Location	40 N 64th St, Belleville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972509339
Provider Enumeration Date: 06/21/2005
Last Update Date: 12/02/2014

Medicare PECOS Information:

PECOS PAC ID: 2860455847
Enrollment ID: I20041110000708

Medical Identifiers

Medical identifiers for Amy Bruggemann such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972509339	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209005238 (Illinois)	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. Amy Bruggemann allows following entities to bill medicare on her behalf.

Entity Name	Specialized Wound Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962430157 PECOS PAC ID: 4284628173 Enrollment ID: O20040505000688

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. Amy Bruggemann 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
Amy Bruggemann, FNP 2500 Executive Drive, Suite 104, St. Charles, MO 63303 Ph: (888) 811-4677	Amy Bruggemann, FNP 40 N 64th St, Belleville, IL 62223-3808 Ph: (618) 397-8400

Reviews and Comments

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Pamela A O'neal, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 130 Lincoln Place Ct, Belleville, IL 62221 Phone: 618-257-2029 Fax: 618-235-5371
Mrs. Deanna L. Rodenberg, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4550 Memorial Dr, Ste. 340, Belleville, IL 62226 Phone: 618-257-6200 Fax: 618-257-6679
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Amy Bruggemann, FNP - Medicare Nurse Practitioner in Belleville, IL