Lea Domenique Bryan, CRNP in Edmond, OK - Medicare Nurse Practitioner

Lea Domenique Bryan, CRNP is a medicare enrolled "Nurse Practitioner" in Edmond, Oklahoma. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Oklahoma Arthritis Center, P.c., Saints Medical Group, Llc and her current practice location is 1705 Renaissance Blvd, Edmond, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 844-4978.

Lea Domenique Bryan is licensed to practice in Pennsylvania (license number SPO18291) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073020988.

Contact Information

	Lea Domenique Bryan, CRNP
	1705 Renaissance Blvd, Edmond, OK 73013-3041
	(405) 844-4978
	Not Available

Map and Direction

Provider's Profile

Full Name	Lea Domenique Bryan
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	1705 Renaissance Blvd, Edmond, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lea Domenique Bryan graduated from nursing school in 2017

NPI Data:

NPI Number: 1073020988
Provider Enumeration Date: 01/02/2018
Last Update Date: 07/18/2023

Medicare PECOS Information:

PECOS PAC ID: 0345501920
Enrollment ID: I20180815003659

Medical Identifiers

Medical identifiers for Lea Domenique Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073020988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SPO18291 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
O U Medical Center	Oklahoma city, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oklahoma Arthritis Center, P.c.	0446239743	39
Saints Medical Group, Llc	7012914898	358

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. Lea Domenique Bryan allows following entities to bill medicare on her behalf.

Entity Name	Oklahoma Arthritis Center, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528036019 PECOS PAC ID: 0446239743 Enrollment ID: O20040720000063

Entity Name	Saints Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189

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. Lea Domenique Bryan 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
Lea Domenique Bryan, CRNP 1701 Renaissance Blvd, Edmond, OK 73013-3086 Ph: (405) 844-4978	Lea Domenique Bryan, CRNP 1705 Renaissance Blvd, Edmond, OK 73013-3041 Ph: (405) 844-4978

Reviews and Comments

Nurse Practitioner Nurses in Edmond, OK

Michelle Kathleen Merrell, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3800 S. Blvd,, Edmond, OK 73013 Phone: 405-905-9888
Catherine Marie Kindt, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2177 Venezia Cir, Edmond, OK 73034 Phone: 580-695-1605
Breanne Kali Flusche, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 405-578-9818
Karyl S. Knopps, A.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2820 N Kelly Ave, Ste 200, Edmond, OK 73003 Phone: 405-726-8000 Fax: 405-726-8101
Lisa Louise Spence, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1208 W 15th St, Edmond, OK 73013 Phone: 405-340-2100 Fax: 405-340-1184
Elizabeth Stanfield Carradini, DNP, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 S Bryant Ave, Edmond, OK 73013 Phone: 405-348-7982
Kelli Rebecca Lawrence, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 200 N Bryant Ave Ste 120, Edmond, OK 73034 Phone: 405-832-6881 Fax: 833-941-1685

Lea Domenique Bryan, CRNP - Medicare Nurse Practitioner in Edmond, OK