Penny S Bruso, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shaftsbury, Vermont. Her current practice location is
677 Rte 7a, Shaftsbury, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 442-8531.
Penny S Bruso is licensed to practice in Vermont (license number 101.0105935) 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 1518376607.
Provider's Profile
| Full Name | Penny S Bruso |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 677 Rte 7a, Shaftsbury, Vermont |
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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: 1518376607
- Provider Enumeration Date: 08/04/2014
- Last Update Date: 08/04/2014
Medicare PECOS Information:
- PECOS PAC ID: 5496078347
- Enrollment ID: I20141229000763
Medical Identifiers
Medical identifiers for Penny S Bruso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1518376607 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 101.0105935 (Vermont) | Primary |
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. Penny S Bruso allows following entities to bill medicare on her behalf.
| Entity Name | Memory Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205359213
PECOS PAC ID: 6709209109
Enrollment ID: O20200701002464 |
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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. Penny S Bruso 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 |
|---|
Penny S Bruso, FNP
Po Box 379, 677 Rte 7a,
Shaftsbury, VT 05262
Ph: (802) 442-8531 | Penny S Bruso, FNP
677 Rte 7a,
Shaftsbury, VT 05262
Ph: (802) 442-8531 |
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