Shawndolyn Bruten, - Medicare Nurse Practitioner in Daytona Beach, FL

  1. Home
  2. Nurse Practitioner
  3. FL
  4. Daytona Beach
Shawndolyn Bruten, is a medicare enrolled "Nurse Practitioner - Family" in Daytona Beach, Florida. Her current practice location is 325 S Segrave St, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 868-6180.

Shawndolyn Bruten is licensed to practice in Florida (license number APRN11008739) 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 1629685060.

Contact Information

Shawndolyn Bruten,
325 S Segrave St,
Daytona Beach, FL 32114-4815
(386) 868-6180
Not Available

Map and Direction




Provider's Profile

Full NameShawndolyn Bruten
GenderFemale
SpecialityNurse Practitioner - Family
Location325 S Segrave St, Daytona Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629685060
  • Provider Enumeration Date: 09/29/2020
  • Last Update Date: 09/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002205812
  • Enrollment ID: I20211117001660

Medical Identifiers

Medical identifiers for Shawndolyn Bruten such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629685060NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN11008739 (Florida)Secondary
363LF0000XNurse Practitioner - Family APRN11008739 (Florida)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. Shawndolyn Bruten allows following entities to bill medicare on her behalf.
Entity NameWound Technology Network, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962601393
PECOS PAC ID: 4486892296
Enrollment ID: O20130605000626
Entity NameAdvanced Healthcare Integration Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821696766
PECOS PAC ID: 3476964438
Enrollment ID: O20201123002014

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. Shawndolyn Bruten 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
Shawndolyn Bruten,
Po Box 3731,
Deland, FL 32721-3731

Ph: (386) 868-6180		Shawndolyn Bruten,
325 S Segrave St,
Daytona Beach, FL 32114-4815

Ph: (386) 868-6180

Reviews and Comments


Nurse Practitioner Nurses in Daytona Beach, FL

Ashley Gillette, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 112 Milton Rd, Daytona Beach, FL 32118
Phone: 970-260-0885    
Brittany C Gaskin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1845 Holsonback Dr, Daytona Beach, FL 32117
Phone: 386-274-0500    
Charles Wright, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-238-3200    Fax: 386-238-3264
Bruce Harris, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3512 S Atlantic Ave, Daytona Beach, FL 32118
Phone: 386-767-9544    
Cloressa Dizney, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 386-425-4542    Fax: 386-425-7705
Gena Genovese Brennan, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 301 Memorial Medical Pkwy, Daytona Beach, FL 32117
Phone: 386-353-7633    Fax: 386-615-4105
Mrs. Krystal Marie Disantis, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 731 N Clyde Morris Blvd, Daytona Beach, FL 32114
Phone: 786-738-9144    Fax: 877-245-1597

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.