Brynn Cusack, is a
Student In An Organized Health Care Education/training Program based in Bloomington, Minnesota. Brynn Cusack is licensed to practice in * (Not Available) (license number ) and her current practice location is
9271 Hyland Creek Rd, Bloomington, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 330-1399.
NPI number for Brynn Cusack is 1184314916 and her current mailing address is 9271 Hyland Creek Rd, Bloomington, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1184314916.
Provider's Profile
| Full Name | Brynn Cusack |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 9271 Hyland Creek Rd, Bloomington, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1184314916
- Provider Enumeration Date: 05/15/2023
- Last Update Date: 05/15/2023
Medical Identifiers
Medical identifiers for Brynn Cusack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184314916 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Brynn Cusack 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 |
|---|
Brynn Cusack,
9271 Hyland Creek Rd,
Bloomington, MN 55437-1945
Ph: (612) 330-1399 | Brynn Cusack,
9271 Hyland Creek Rd,
Bloomington, MN 55437-1945
Ph: (612) 330-1399 |
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