Mrs Melissa Sue Brusacoram, APRN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Chisholm, Minnesota. Her current practice location is
118 W Lake St, Chisholm, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 254-0101.
Mrs Melissa Sue Brusacoram is licensed to practice in Minnesota (license number 7331) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962051359.
Provider's Profile
| Full Name | Mrs Melissa Sue Brusacoram |
|---|
| Gender | Female |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 118 W Lake St, Chisholm, Minnesota |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Mrs Melissa Sue Brusacoram attended and graduated from in
NPI Data:
- NPI Number: 1962051359
- Provider Enumeration Date: 09/09/2019
- Last Update Date: 07/16/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Melissa Sue Brusacoram such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962051359 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | 2100555 (Minnesota) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 7331 (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 Melissa Sue Brusacoram 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 Melissa Sue Brusacoram, APRN, CNP
7478 Green Rock Rd,
Side Lake, MN 55781-8434
Ph: (218) 296-0688 | Mrs Melissa Sue Brusacoram, APRN, CNP
118 W Lake St,
Chisholm, MN 55719-1819
Ph: (218) 254-0101 |
Reviews and Comments