Mr Dana G Brackett, NP in South Bend, IN - Medicare Nurse Practitioner

Mr Dana G Brackett, NP is a medicare enrolled "Nurse Practitioner - Family" in South Bend, Indiana. His current practice location is 53880 Carmichael Dr, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 247-9441.

Mr Dana G Brackett is licensed to practice in Indiana (license number 71002064A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164499067.

Contact Information

	Mr Dana G Brackett, NP
	53880 Carmichael Dr, South Bend, IN 46635-1567
	(574) 247-9441
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Dana G Brackett
Gender	Male
Speciality	Nurse Practitioner - Family
Location	53880 Carmichael Dr, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164499067
Provider Enumeration Date: 03/01/2006
Last Update Date: 09/03/2024

Medicare PECOS Information:

PECOS PAC ID: 4880609924
Enrollment ID: I20060210000551

Medical Identifiers

Medical identifiers for Mr Dana G Brackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164499067	NPI	-	NPPES
200808410	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71002064A (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. Mr Dana G Brackett allows following entities to bill medicare on his behalf.

Entity Name	Central Indiana Orthopedics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063422137 PECOS PAC ID: 5698667822 Enrollment ID: O20040325000156

Entity Name	Orthopaedic Surgical Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528123007 PECOS PAC ID: 3072500099 Enrollment ID: O20040429001179

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 Dana G Brackett 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
Mr Dana G Brackett, NP 3600 W Bethel Ave, Muncie, IN 47304-5407 Ph: () -	Mr Dana G Brackett, NP 53880 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441

Reviews and Comments

Nurse Practitioner Nurses in South Bend, IN

Beth Ann Hayden, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 707 N Michigan St, Ste 400, South Bend, IN 46601 Phone: 574-647-8470 Fax: 574-647-8475
Rachel Ann Jennings, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, South Bend, IN 46601 Phone: 574-647-1000
Kelly Mae Losiniecki, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 N Eddy St., South Bend, IN 46617 Phone: 574-237-9231 Fax: 574-204-6355
Mrs. Brandice Lynn Page, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 53760 Generations Dr, South Bend, IN 46635 Phone: 888-938-3838 Fax: 888-919-1083
Gina M. Connolly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Navarre Pl Ste 6600, South Bend, IN 46601 Phone: 574-647-8800 Fax: 574-647-8811
Amanda Lundberg, MSN, RN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 53830 Generations Dr Ste 110, South Bend, IN 46635 Phone: 574-234-2191
Kendall Hochstedler, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1960 Northside Blvd, South Bend, IN 46615 Phone: 574-307-7673 Fax: 574-234-4706

Mr Dana G Brackett, NP - Medicare Nurse Practitioner in South Bend, IN