Mandy De Bruin, CNP - Medicare Nurse Practitioner in Savannah, GA

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Mandy De Bruin, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Savannah, Georgia. Her current practice location is 1139 Lexington Ave Ste A, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 303-4200.

Mandy De Bruin is licensed to practice in Georgia (license number GAA-NP000003) 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 1033789672.

Contact Information

Mandy De Bruin, CNP
1139 Lexington Ave Ste A,
Savannah, GA 31404-5502
(912) 303-4200
(912) 790-2701

Map and Direction




Provider's Profile

Full NameMandy De Bruin
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location1139 Lexington Ave Ste A, Savannah, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033789672
  • Provider Enumeration Date: 06/27/2021
  • Last Update Date: 02/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5193121309
  • Enrollment ID: I20240301000314

Medical Identifiers

Medical identifiers for Mandy De Bruin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033789672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 24265 (South Carolina)Secondary
363LA2200XNurse Practitioner - Adult Health APRN11013219 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health GAA-NP000003 (Georgia)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. Mandy De Bruin allows following entities to bill medicare on her behalf.
Entity NameAga, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124064118
PECOS PAC ID: 2365431350
Enrollment ID: O20040506000726
Entity NameAga Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063799120
PECOS PAC ID: 3870768997
Enrollment ID: O20111219000311

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. Mandy De Bruin 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 AddressPractice Location Address
Mandy De Bruin, CNP
1139 Lexington Ave Ste A,
Savannah, GA 31404-5502

Ph: (912) 303-4200		Mandy De Bruin, CNP
1139 Lexington Ave Ste A,
Savannah, GA 31404-5502

Ph: (912) 303-4200

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.