Kelsey Brisbin, PMHNP | |
45633 W Meadows Ln, Maricopa, AZ 85139-6781 | |
(308) 224-7189 | |
Not Available |
Full Name | Kelsey Brisbin |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 7 Years |
Location | 45633 W Meadows Ln, Maricopa, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760990121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP10911 (Arizona) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Bridges Inc | 2062699721 | 84 |
Entity Name | Southwest Behavioral Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
Entity Name | Community Bridges Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558095315 PECOS PAC ID: 2062699721 Enrollment ID: O20110606000388 |
Mailing Address | Practice Location Address |
---|---|
Kelsey Brisbin, PMHNP 45633 W Meadows Ln, Maricopa, AZ 85139-6781 Ph: (308) 224-7189 | Kelsey Brisbin, PMHNP 45633 W Meadows Ln, Maricopa, AZ 85139-6781 Ph: (308) 224-7189 |
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