Selena Bruck, - Medicare Nurse Practitioner in Cleveland, OH

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Selena Bruck, is a medicare enrolled "Nurse Practitioner - Primary Care" in Cleveland, Ohio. Her current practice location is 1956 East 79th St, Cleveland, Ohio. You can reach out to her office (for appointments etc.) via phone at (216) 431-3733.

Selena Bruck is licensed to practice in Ohio (license number PENDING) 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 1336756956.

Contact Information

Selena Bruck,
1956 East 79th St,
Cleveland, OH 44103-4410
(216) 431-3733
Not Available

Map and Direction




Provider's Profile

Full NameSelena Bruck
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location1956 East 79th St, Cleveland, Ohio
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1336756956
  • Provider Enumeration Date: 09/28/2020
  • Last Update Date: 04/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971910795
  • Enrollment ID: I20210323002201

Medical Identifiers

Medical identifiers for Selena Bruck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336756956NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care PENDING (Ohio)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. Selena Bruck allows following entities to bill medicare on her behalf.
Entity NameUniversity Primary Care Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003935339
PECOS PAC ID: 3072417534
Enrollment ID: O20031125000767
Entity NameRespiratory And Sleep Disorders Consultants, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982683751
PECOS PAC ID: 5799683496
Enrollment ID: O20031219000264
Entity NameFast Response Nurse Practitioners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720530181
PECOS PAC ID: 8527349992
Enrollment ID: O20161222000484
Entity NameCleveland Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528619921
PECOS PAC ID: 6608209812
Enrollment ID: O20191202001840

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. Selena Bruck 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 AddressPractice Location Address
Selena Bruck,
6230 Hidden Creek Dr,
Lorain, OH 44053-4304

Ph: () -		Selena Bruck,
1956 East 79th St,
Cleveland, OH 44103-4410

Ph: (216) 431-3733

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.