Brandon Emry, - Medicare Nurse Practitioner in Fort Wayne, IN

Brandon Emry, is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. He graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ear, Nose And Throat Associates, Pc, Cleanslate Medical Group Of Indiana Llc and his current practice location is 11104 Parkview Circle Dr Ste 110, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 425-6780.

Brandon Emry is licensed to practice in Indiana (license number 71007787A) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164938007.

Contact Information

Brandon Emry,
11104 Parkview Circle Dr Ste 110,
Fort Wayne, IN 46845-1673
(260) 425-6780
Not Available

Map and Direction




Provider's Profile

Full NameBrandon Emry
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location11104 Parkview Circle Dr Ste 110, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon Emry graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1164938007
  • Provider Enumeration Date: 12/14/2017
  • Last Update Date: 02/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9032471826
  • Enrollment ID: I20180314001055

Medical Identifiers

Medical identifiers for Brandon Emry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164938007NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28217961A (Indiana)Secondary
363L00000XNurse Practitioner 71007787A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ear, Nose And Throat Associates, Pc337550430136
Cleanslate Medical Group Of Indiana Llc488096390965

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. Brandon Emry allows following entities to bill medicare on his behalf.
Entity NameEar, Nose & Throat Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851377691
PECOS PAC ID: 3375504301
Enrollment ID: O20041022001033
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366768160
PECOS PAC ID: 9234041948
Enrollment ID: O20090318000016
Entity NameCleanslate Medical Group Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023464294
PECOS PAC ID: 4880963909
Enrollment ID: O20171023001515

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. Brandon Emry 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 AddressPractice Location Address
Brandon Emry,
3702 New Vision Dr Bldg B,
Fort Wayne, IN 46845-1703

Ph: (260) 266-6013
Brandon Emry,
11104 Parkview Circle Dr Ste 110,
Fort Wayne, IN 46845-1673

Ph: (260) 425-6780

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.