Georgia Brunelle, MSN, FNP-C, RN is a medicare enrolled "Nurse Practitioner - Family" in Brookfield, New Hampshire. Her current practice location is
23 Pike Brook Rd, Brookfield, New Hampshire. You can reach out to her office (for appointments etc.) via phone at
(603) 986-2273.
Georgia Brunelle is licensed to practice in New Hampshire (license number 053407-23) 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 1053946335.
Provider's Profile
Full Name | Georgia Brunelle |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 23 Pike Brook Rd, Brookfield, New Hampshire |
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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: 1053946335
- Provider Enumeration Date: 03/07/2020
- Last Update Date: 02/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688014913
- Enrollment ID: I20240502003161
Medical Identifiers
Medical identifiers for Georgia Brunelle such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053946335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 053407-21 (New Hampshire) | Secondary |
363LF0000X | Nurse Practitioner - Family | 053407-23 (New Hampshire) | 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. Georgia Brunelle allows following entities to bill medicare on her behalf.
Entity Name | York Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376528398 PECOS PAC ID: 6406766781 Enrollment ID: O20040812001065 |
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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. Georgia Brunelle 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 |
Georgia Brunelle, MSN, FNP-C, RN 23 Pike Brook Rd, Brookfield, NH 03872-7310 Ph: (603) 986-2273 | Georgia Brunelle, MSN, FNP-C, RN 23 Pike Brook Rd, Brookfield, NH 03872-7310 Ph: (603) 986-2273 |
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