Mrs Chisom O Bruns, PA-C is a medicare enrolled "Physician Assistant" in Spring Valley, Minnesota. Her current practice location is
802 Memorial Dr, Spring Valley, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 288-3443.
Mrs Chisom O Bruns is licensed to practice in Minnesota (license number 12738) 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 1073092391.
Provider's Profile
Full Name | Mrs Chisom O Bruns |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 802 Memorial Dr, Spring Valley, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073092391
- Provider Enumeration Date: 08/08/2018
- Last Update Date: 08/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 2466702493
- Enrollment ID: I20180912001107
Medical Identifiers
Medical identifiers for Mrs Chisom O Bruns such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073092391 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 12738 (Minnesota) | Primary |
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 Chisom O Bruns 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 Chisom O Bruns, PA-C 2110 Falcon Ter Nw, Stewartville, MN 55976-1052 Ph: (732) 439-2948 | Mrs Chisom O Bruns, PA-C 802 Memorial Dr, Spring Valley, MN 55975-1024 Ph: (507) 288-3443 |
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