Cynthia Johanna Bricknell, FNP in West Lafayette, IN

Cynthia Johanna Bricknell, FNP is a medicare enrolled "Nurse Practitioner - Family" in West Lafayette, Indiana. Her current practice location is 166 Sagamore Pkwy W, West Lafayette, Indiana. You can reach out to her office (for appointments etc.) via phone at (765) 497-2428.

Cynthia Johanna Bricknell is licensed to practice in Indiana (license number 71004585A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1356776306.

Contact Information

	Cynthia Johanna Bricknell, FNP
	166 Sagamore Pkwy W, West Lafayette, IN 47906-1569
	(765) 497-2428
	(765) 497-4251

Map and Direction

Provider's Profile

Full Name	Cynthia Johanna Bricknell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	166 Sagamore Pkwy W, West Lafayette, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356776306
Provider Enumeration Date: 09/10/2013
Last Update Date: 12/12/2019

Medicare PECOS Information:

PECOS PAC ID: 2668609207
Enrollment ID: I20131205001500

Medical Identifiers

Medical identifiers for Cynthia Johanna Bricknell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356776306	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71004585A (Indiana)	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. Cynthia Johanna Bricknell allows following entities to bill medicare on her behalf.

Entity Name	Unity Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619929098 PECOS PAC ID: 0244123362 Enrollment ID: O20040203001083

Entity Name	Nes Of Sandusky Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972978583 PECOS PAC ID: 8022311729 Enrollment ID: O20160128002524

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. Cynthia Johanna Bricknell 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
Cynthia Johanna Bricknell, FNP 502 High St, Logansport, IN 46947-2766 Ph: (574) 732-2552	Cynthia Johanna Bricknell, FNP 166 Sagamore Pkwy W, West Lafayette, IN 47906-1569 Ph: (765) 497-2428

Reviews and Comments

Nurse Practitioner Nurses in West Lafayette, IN

Laura L Wavra, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905
Marcia Ann Stroup, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 253 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-448-8000 Fax: 765-448-8227
Mrs. Ashley Nicole Hogan, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 317-207-7413
Gayle Doll, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 512 Sagamore Pkwy W, West Lafayette, IN 47906 Phone: 765-497-3551
Mrs. Stephanie L. Davitto, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 124 Sagamore Pkwy West, West Lafayette, IN 47906 Phone: 765-463-6722 Fax: 765-463-0905
Yun Cai, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Stadium Mall Dr, West Lafayette, IN 47907 Phone: 765-494-1700
Azza H Ahmed, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 N University St, West Lafayette, IN 47907 Phone: 765-494-4040

Cynthia Johanna Bricknell, FNP - Medicare Nurse Practitioner in West Lafayette, IN