Mr Brandon Blakely Bisso, NP - Medicare Nurse Practitioner in Lagrange, GA

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Mr Brandon Blakely Bisso, NP is a medicare enrolled "Nurse Practitioner" in Lagrange, Georgia. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice The Bortolazzo Group, Llc and his current practice location is 1514 Vernon Rd, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 882-1411.

Mr Brandon Blakely Bisso is licensed to practice in Georgia (license number RN220792) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1306401260.

Contact Information

Mr Brandon Blakely Bisso, NP
1514 Vernon Rd,
Lagrange, GA 30240-4131
(706) 882-1411
Not Available

Map and Direction




Provider's Profile

Full NameMr Brandon Blakely Bisso
GenderMale
SpecialityNurse Practitioner
Experience7 Years
Location1514 Vernon Rd, Lagrange, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Brandon Blakely Bisso graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1306401260
  • Provider Enumeration Date: 05/07/2019
  • Last Update Date: 05/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1658609961
  • Enrollment ID: I20190824000578

Medical Identifiers

Medical identifiers for Mr Brandon Blakely Bisso such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306401260NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN220792 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Paulding HospitalHiram, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Bortolazzo Group, Llc347655432072

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. Mr Brandon Blakely Bisso allows following entities to bill medicare on his behalf.
Entity NameSouth Fulton Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821043787
PECOS PAC ID: 5294708715
Enrollment ID: O20040813000595
Entity NameLagrange Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760437560
PECOS PAC ID: 0840207072
Enrollment ID: O20060314000271
Entity NameThe Bortolazzo Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801965082
PECOS PAC ID: 3476554320
Enrollment ID: O20070122000015
Entity NameGa-i Medical Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801205281
PECOS PAC ID: 2062734924
Enrollment ID: O20141203001268
Entity NameGordon Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205290467
PECOS PAC ID: 6406149400
Enrollment ID: O20160728001627

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. Mr Brandon Blakely Bisso 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
Mr Brandon Blakely Bisso, NP
10545 Summer Creek Dr,
Alpharetta, GA 30022-5084

Ph: (706) 631-5247		Mr Brandon Blakely Bisso, NP
1514 Vernon Rd,
Lagrange, GA 30240-4131

Ph: (706) 882-1411

Reviews and Comments


Nurse Practitioner Nurses in Lagrange, GA

Jennifer Nichole Speelman, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Medical Dr Ste 501, Lagrange, GA 30240
Phone: 706-882-1191    
Maria Ann Daniel, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1551 Doctors Dr, Building 200, Lagrange, GA 30240
Phone: 706-884-2641    Fax: 706-884-2353
Notoya Scott, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1075 Lafayette Pkwy Ste 100, Lagrange, GA 30241
Phone: 706-443-5273    Fax: 762-323-1014
Anna Odom, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1602 Vernon Rd, Ste 400, Lagrange, GA 30240
Phone: 706-882-9341    Fax: 706-884-0131
Mr. Harry Rafael Sevilla Abilla, NP-C, CRNA, MSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 310 North Davis Street, Lagrange, GA 30240
Phone: 706-812-4068    
Joni Lee Winter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1514 Vernon Rd, Lagrange, GA 30240
Phone: 706-845-3706    Fax: 706-845-2193
John Thomas Veal,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 210 W Broome St, Lagrange, GA 30240
Phone: 706-954-6750    

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.