Mrs Michelle Lynn Breneman, PNP in Lake Saint Louis, MO

Mrs Michelle Lynn Breneman, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lake Saint Louis, Missouri. Her current practice location is 100 Brevco Plz, Ste 101, Lake Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 561-5437.

Mrs Michelle Lynn Breneman is licensed to practice in Missouri (license number 2003020311) 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 1043484371.

Contact Information

	Mrs Michelle Lynn Breneman, PNP
	100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367-1382
	(636) 561-5437
	(636) 561-5100

Map and Direction

Provider's Profile

Full Name	Mrs Michelle Lynn Breneman
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	100 Brevco Plz, Lake Saint Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043484371
Provider Enumeration Date: 04/17/2008
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 7911282454
Enrollment ID: I20170323000916

Medical Identifiers

Medical identifiers for Mrs Michelle Lynn Breneman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043484371	NPI	-	NPPES
420041212	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	2003020311 (Missouri)	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. Mrs Michelle Lynn Breneman allows following entities to bill medicare on her behalf.

Entity Name	Wuca-westside Pediatrics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700325123 PECOS PAC ID: 6507141074 Enrollment ID: O20170323002293

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. Mrs Michelle Lynn Breneman 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
Mrs Michelle Lynn Breneman, PNP Po Box 505405, Saint Louis, MO 63150-5405 Ph: (636) 561-5437	Mrs Michelle Lynn Breneman, PNP 100 Brevco Plz, Ste 101, Lake Saint Louis, MO 63367-1382 Ph: (636) 561-5437

Reviews and Comments

Nurse Practitioner Nurses in Lake Saint Louis, MO

Jaclyn Morris, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Medical Plz Ste 310, Lake Saint Louis, MO 63367 Phone: 636-625-2662
Adam Lee Trimpe, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021
Ms. Melanie V Maze, ANP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 Medical Plaza, Suite 100, Lake Saint Louis, MO 63367 Phone: 636-639-8600 Fax: 636-639-8676
Lisa A Scott, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6261 Ronald Reagan Dr Ste B19, Lake Saint Louis, MO 63367 Phone: 636-561-3021 Fax: 636-561-3022
Cherie Lanham Kimbrough, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plaza Dr, Emergency Department, Lake Saint Louis, MO 63367 Phone: 636-625-5300 Fax: 636-625-5376
Spencer John Mares, FNP-C, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 100 Medical Plz, Lake Saint Louis, MO 63367 Phone: 636-625-5200

Mrs Michelle Lynn Breneman, PNP - Medicare Nurse Practitioner in Lake Saint Louis, MO