Ms Kathryn Marie Bruce, NP is a medicare enrolled "Nurse Practitioner" in Wane, Michigan. Her current practice location is
33155 Annapolis, Emergency Medicine Department, Wane, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 467-4042.
Ms Kathryn Marie Bruce is licensed to practice in Michigan (license number 4704248262) 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 1881841591.
Provider's Profile
| Full Name | Ms Kathryn Marie Bruce |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 33155 Annapolis, Wane, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881841591
- Provider Enumeration Date: 08/25/2008
- Last Update Date: 06/29/2011
Medicare PECOS Information:
- PECOS PAC ID: 5092877795
- Enrollment ID: I20081213000267
Medical Identifiers
Medical identifiers for Ms Kathryn Marie Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1881841591 | NPI | - | NPPES |
| 11972106 | Other | | CAQH |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | 4704248262 (Michigan) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 4704248262 (Michigan) | Secondary |
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. Ms Kathryn Marie Bruce allows following entities to bill medicare on her behalf.
| Entity Name | Cedar Bay Medicine Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669212114
PECOS PAC ID: 0143767533
Enrollment ID: O20240802001990 |
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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. Ms Kathryn Marie Bruce 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 |
|---|
Ms Kathryn Marie Bruce, NP
38935 Ann Arbor Road, Credentialing/payer Contracting Services,
Livonia, MI 48150-3397
Ph: (734) 632-0175 | Ms Kathryn Marie Bruce, NP
33155 Annapolis, Emergency Medicine Department,
Wane, MI 48184-2405
Ph: (734) 467-4042 |
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