Brendan Ellebracht, RN in Springfield, MO - Medicare Nurse Anesthetist, Certified Registered

Brendan Ellebracht, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Springfield, Missouri. His current practice location is 901 S National Ave, Springfield, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 836-5039.

Brendan Ellebracht is licensed to practice in Missouri (license number 2023025394) 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 1164157145.

Contact Information

	Brendan Ellebracht, RN
	901 S National Ave, Springfield, MO 65897-0027
	(417) 836-5039
	Not Available

Map and Direction

Provider's Profile

Full Name	Brendan Ellebracht
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	901 S National Ave, Springfield, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164157145
Provider Enumeration Date: 07/22/2022
Last Update Date: 08/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8921460908
Enrollment ID: I20230809000577

Medical Identifiers

Medical identifiers for Brendan Ellebracht such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164157145	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	201803196 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	2023025394 (Missouri)	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. Brendan Ellebracht allows following entities to bill medicare on his behalf.

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060

Entity Name	Mercy Clinic Springfield Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354

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. Brendan Ellebracht 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
Brendan Ellebracht, RN 1749 Walters Way, Saint Charles, MO 63303-4651 Ph: (636) 448-1580	Brendan Ellebracht, RN 901 S National Ave, Springfield, MO 65897-0027 Ph: (417) 836-5039

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Springfield, MO

Olivia M. Kilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Mr. David E Meinhardt, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1265 E Primrose St, Springfield, MO 65804 Phone: 417-886-3937 Fax: 417-886-1285
Jacquelyn B Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829
Dione E Blansit, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829
Jesse D Collins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
Bradley A Korman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852
John D Ford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1235 E Cherokee St, Springfield, MO 65804 Phone: 417-820-2829 Fax: 417-820-8852

Brendan Ellebracht, RN - Medicare Nurse Anesthetist, Certified Registered in Springfield, MO