Edmund Bruning, is a medicare enrolled "Physician Assistant" in Mascoutah, Illinois. His current practice location is
10630 Town Hall Rd, Mascoutah, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 541-0250.
Edmund Bruning is licensed to practice in Missouri (license number 2023043101) 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 1801679469.
Provider's Profile
Full Name | Edmund Bruning |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 10630 Town Hall Rd, Mascoutah, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801679469
- Provider Enumeration Date: 08/17/2023
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315394038
- Enrollment ID: I20231116002844
Medical Identifiers
Medical identifiers for Edmund Bruning such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801679469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | 2023043101 (Missouri) | 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. Edmund Bruning 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 |
Edmund Bruning, 10630 Town Hall Rd, Mascoutah, IL 62258-3942 Ph: () - | Edmund Bruning, 10630 Town Hall Rd, Mascoutah, IL 62258-3942 Ph: (618) 541-0250 |
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