Ksenia Bruner, in Fort Wayne, IN - Medicare Nurse Practitioner

Ksenia Bruner, is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 11109 Parkview Plaza Dr, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-2770.

Ksenia Bruner is licensed to practice in Indiana (license number 71008129A) 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 1508352642.

Contact Information

	Ksenia Bruner,
	11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701
	(260) 266-2770
	Not Available

Map and Direction

Provider's Profile

Full Name	Ksenia Bruner
Gender	Female
Speciality	Nurse Practitioner
Location	11109 Parkview Plaza Dr, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508352642
Provider Enumeration Date: 07/02/2018
Last Update Date: 09/18/2018

Medicare PECOS Information:

PECOS PAC ID: 3274884150
Enrollment ID: I20180918000522

Medical Identifiers

Medical identifiers for Ksenia Bruner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508352642	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	71008129A (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. Ksenia Bruner allows following entities to bill medicare on her behalf.

Entity Name	Hospital Care Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295083624 PECOS PAC ID: 7416107487 Enrollment ID: O20140529001220

Entity Name	Hospitalist Physicians Of Indiana Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306576277 PECOS PAC ID: 1052795986 Enrollment ID: O20220826000967

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. Ksenia Bruner 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
Ksenia Bruner, 3702 New Vision Dr Bldg B, Fort Wayne, IN 46845-1703 Ph: () -	Ksenia Bruner, 11109 Parkview Plaza Dr, Fort Wayne, IN 46845-1701 Ph: (260) 266-2770

Reviews and Comments

Nurse Practitioner Nurses in Fort Wayne, IN

Carrie Jean Boots, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 108, Fort Wayne, IN 46804 Phone: 260-484-8830 Fax: 260-483-1911
Mrs. Jamie Lynn Peppler, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5910 Homestead Rd, Fort Wayne, IN 46814 Phone: 260-435-3272 Fax: 260-435-3275
Stephanie Ann Clouse, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7910 W Jefferson Blvd Ste 120, Fort Wayne, IN 46804 Phone: 260-435-7612 Fax: 260-435-7672
Cathy S Walker, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1234 E. Dupont Rd., Suite 6, Fort Wayne, IN 46825 Phone: 260-480-2600 Fax: 260-496-8077
Amber N Gullion, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3512 Stellhorn Rd, Fort Wayne, IN 46815 Phone: 260-483-9081 Fax: 260-483-9196
Cara E Walker, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11123 Parkview Plaza Dr, Suite 101, Fort Wayne, IN 46845 Phone: 260-422-7455
Kara Yackee, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3909 New Vision Dr, Fort Wayne, IN 46845 Phone: 260-469-6610 Fax: 260-969-3065

Ksenia Bruner, - Medicare Nurse Practitioner in Fort Wayne, IN