Prunetta Brunson, in Roanoke, VA - Medicare Nurse Practitioner

Prunetta Brunson, is a medicare enrolled "Nurse Practitioner - Family" in Roanoke, Virginia. Her current practice location is 1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 981-7000.

Prunetta Brunson is licensed to practice in Virginia (license number 0024185143) 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 1538662556.

Contact Information

	Prunetta Brunson,
	1906 Belleview Ave Se, Roanoke, VA 24014-1838
	(540) 981-7000
	(540) 853-0931

Map and Direction

Provider's Profile

Full Name	Prunetta Brunson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1906 Belleview Ave Se, Roanoke, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538662556
Provider Enumeration Date: 03/15/2018
Last Update Date: 05/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8820353071
Enrollment ID: I20180517002344

Medical Identifiers

Medical identifiers for Prunetta Brunson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538662556	NPI	-	NPPES
NP5114	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	21737 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	21737 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	0024185143 (Virginia)	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. Prunetta Brunson allows following entities to bill medicare on her behalf.

Entity Name	Apogee Medical Group South Carolina
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619028545 PECOS PAC ID: 8921193020 Enrollment ID: O20071004000474

Entity Name	Mcleod Loris Seacoast Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265708119 PECOS PAC ID: 9133394398 Enrollment ID: O20120710000230

Entity Name	Piedmont Physician Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613

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. Prunetta Brunson 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
Prunetta Brunson, 213 S Jefferson St Ste 1006, Roanoke, VA 24011-1713 Ph: () -	Prunetta Brunson, 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000

Reviews and Comments

Nurse Practitioner Nurses in Roanoke, VA

Catherine Campbell Parker, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3716 Melrose Ave Nw, Roanoke, VA 24017 Phone: 540-362-0360
Mrs. Modupe Oluwaseyi Jolaoso White, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212
Ashlyn Brooke Conrad, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000
Brandlene Leigh Ratcliffe, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5372 Fallowater Ln, Roanoke, VA 24018 Phone: 540-283-6000
Victoria Shelly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6415 Peters Creek Rd, Roanoke, VA 24019 Phone: 540-265-5500
Beverly Ann Jones, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2001 Crystal Spring Ave Sw Ste 201, Roanoke, VA 24014 Phone: 540-853-0100 Fax: 540-342-9308
Rosemary Anne Zaucha, MSN, MA, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7000 Fax: 540-981-8429

Prunetta Brunson, - Medicare Nurse Practitioner in Roanoke, VA