Nicole Christine Brillembourg, in Fort Myers, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Nicole Christine Brillembourg, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Myers, Florida. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Dominion Anesthesia Pllc and her current practice location is 9981 S Healthpark Dr, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 343-5000.

Nicole Christine Brillembourg is licensed to practice in Florida (license number RN9385226) 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 1679193254.

Contact Information

	Nicole Christine Brillembourg,
	9981 S Healthpark Dr, Fort Myers, FL 33908-3618
	(239) 343-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Christine Brillembourg
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	4 Years
Location	9981 S Healthpark Dr, Fort Myers, Florida
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:

Nicole Christine Brillembourg graduated from nursing school in 2020

NPI Data:

NPI Number: 1679193254
Provider Enumeration Date: 04/23/2020
Last Update Date: 04/23/2020

Medicare PECOS Information:

PECOS PAC ID: 8527483122
Enrollment ID: I20230616000157

Medical Identifiers

Medical identifiers for Nicole Christine Brillembourg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679193254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN9385226 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virginia Hospital Center	Arlington, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominion Anesthesia Pllc	7618863713	66

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. Nicole Christine Brillembourg allows following entities to bill medicare on her behalf.

Entity Name	Dominion Anesthesia Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073554952 PECOS PAC ID: 7618863713 Enrollment ID: O20040305000503

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. Nicole Christine Brillembourg 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
Nicole Christine Brillembourg, 11401 Waterford Village Dr, Fort Myers, FL 33913-7917 Ph: (239) 464-9825	Nicole Christine Brillembourg, 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 Ph: (239) 343-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Fort Myers, FL

Kelly Alisa Zipko, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4101 Evans Ave, Fort Myers, FL 33901 Phone: 239-939-3456 Fax: 239-790-2432
Ms. Jenise Lynn Wheeler, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln, Fort Myers, FL 33907 Phone: 239-939-2622
Miranda Klenow, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Carol M Wirth, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 115 Crescent Dr, Fort Myers, FL 33919 Phone: 239-281-6722 Fax: 239-433-9569
Mrs. Natalie Hanners, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 12511 World Plaza Ln Bldg 50, Fort Myers, FL 33907 Phone: 239-939-2622 Fax: 239-939-0151
Deborah Brzycki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Suite 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246
Candace Klein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4048 Evans Ave, Ste 303, Fort Myers, FL 33901 Phone: 239-332-5344 Fax: 239-332-7246

Nicole Christine Brillembourg, - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Myers, FL