Carl Brueggemann Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Florence, Kentucky. He went to Virginia Commonwealth University, School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Providian Anesthesia Llc, Providian Anesthesia Llc and his current practice location is
8718 Signal Pointe Ct, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 371-6419.
Carl Brueggemann Jr is licensed to practice in Kentucky (license number 3001240) 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 1649294828.
Provider's Profile
| Full Name | Carl Brueggemann Jr |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 36 Years |
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| Location | 8718 Signal Pointe Ct, Florence, Kentucky |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carl Brueggemann Jr attended and graduated from Virginia Commonwealth University, School Of Medicine in 1988
NPI Data:
- NPI Number: 1649294828
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 12/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 9436110970
- Enrollment ID: I20041019000937
Medical Identifiers
Medical identifiers for Carl Brueggemann Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1649294828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 3001240 (Kentucky) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providian Anesthesia Llc | 2264765791 | 14 |
| Providian Anesthesia Llc | 2264765791 | 14 |
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. Carl Brueggemann Jr allows following entities to bill medicare on his behalf.
| Entity Name | Louisville Eye Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932642469
PECOS PAC ID: 6406116185
Enrollment ID: O20180129002738 |
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| Entity Name | Providian Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821654666
PECOS PAC ID: 2264765791
Enrollment ID: O20190614000874 |
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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. Carl Brueggemann Jr 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 |
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Carl Brueggemann Jr, CRNA
8718 Signal Pointe Ct,
Florence, KY 41042-8405
Ph: (859) 371-6419 | Carl Brueggemann Jr, CRNA
8718 Signal Pointe Ct,
Florence, KY 41042-8405
Ph: (859) 371-6419 |
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