Anastacia Marie Brandenburg, AGCNS-BC is a
Clinical Nurse Specialist - Gerontology based in Trafalgar, Indiana. Anastacia Marie Brandenburg is licensed to practice in Indiana (license number 71012266A) and her current practice location is
14 Trafalgar Sq, Trafalgar, Indiana. She can be reached at her office (for appointments etc.) via phone at
(812) 636-1343.
NPI number for Anastacia Marie Brandenburg is 1346837002 and her current mailing address is 14 Trafalgar Sq, Trafalgar, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1346837002.
Provider's Profile
Full Name | Anastacia Marie Brandenburg |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Gerontology |
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Location | 14 Trafalgar Sq, Trafalgar, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346837002
- Provider Enumeration Date: 12/29/2020
- Last Update Date: 05/03/2022
Medical Identifiers
Medical identifiers for Anastacia Marie Brandenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346837002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 28093774A (Indiana) | Secondary |
364S00000X | Clinical Nurse Specialist | 71012266A (Indiana) | Secondary |
364SA2200X | Clinical Nurse Specialist - Adult Health | 71012266A (Indiana) | Secondary |
364SG0600X | Clinical Nurse Specialist - Gerontology | 71012266A (Indiana) | Primary |
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. Anastacia Marie Brandenburg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Anastacia Marie Brandenburg, AGCNS-BC 14 Trafalgar Sq, Trafalgar, IN 46181-9515 Ph: (812) 636-1343 | Anastacia Marie Brandenburg, AGCNS-BC 14 Trafalgar Sq, Trafalgar, IN 46181-9515 Ph: (812) 636-1343 |
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