Mrs Allisa Brunner, NP is a medicare enrolled "Nurse Practitioner" in Berwick, Maine. She went to Saint Louis University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice York Hospital and her current practice location is
4 Dana Drive, Berwick, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 698-6700.
Mrs Allisa Brunner is licensed to practice in Maine (license number CNP151009) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063805257.
Provider's Profile
Full Name | Mrs Allisa Brunner |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 10 Years |
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Location | 4 Dana Drive, Berwick, Maine |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Allisa Brunner attended and graduated from Saint Louis University School Of Medicine in 2014
NPI Data:
- NPI Number: 1063805257
- Provider Enumeration Date: 03/11/2015
- Last Update Date: 03/19/2015
Medicare PECOS Information:
- PECOS PAC ID: 2365761905
- Enrollment ID: I20150504002294
Medical Identifiers
Medical identifiers for Mrs Allisa Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063805257 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | CNP151009 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
York Hospital | 6406766781 | 165 |
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 Allisa Brunner allows following entities to bill medicare on her behalf.
Entity Name | York Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376528398 PECOS PAC ID: 6406766781 Enrollment ID: O20040812001065 |
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Entity Name | Clearchoicemd, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851722417 PECOS PAC ID: 1850510058 Enrollment ID: O20150528000160 |
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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 Allisa Brunner 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 Allisa Brunner, NP 4 Dana Drive, Berwick, ME 03901-2828 Ph: (207) 698-6700 | Mrs Allisa Brunner, NP 4 Dana Drive, Berwick, ME 03901-2828 Ph: (207) 698-6700 |
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