Ellen Bruneel, OTR in South Bend, IN - Medicare Occupational Therapist Provider

Ellen Bruneel, OTR is a medicare enrolled "Occupational Therapist" provider in South Bend, Indiana. Her current practice location is 53380 Carmichael Dr, South Bend, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 247-9441.

Ellen Bruneel is licensed to practice in Indiana (license number 31000074A) 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 1720702525.

Contact Information

	Ellen Bruneel, OTR
	53380 Carmichael Dr, South Bend, IN 46635-1567
	(574) 247-9441
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ellen Bruneel
Gender	Female
Speciality	Occupational Therapist
Location	53380 Carmichael Dr, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720702525
Provider Enumeration Date: 09/27/2022
Last Update Date: 10/19/2023

Medicare PECOS Information:

PECOS PAC ID: 5890153860
Enrollment ID: I20230623000184

Medical Identifiers

Medical identifiers for Ellen Bruneel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720702525	NPI	-	NPPES
31000074A	Other	IN	IPLA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	31000074A (Indiana)	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. Ellen Bruneel allows following entities to bill medicare on her behalf.

Provider Name	Central Indiana Orthopedics Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1063422137 PECOS PAC ID: 5698667822 Enrollment ID: O20040325000156

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. Ellen Bruneel 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
Ellen Bruneel, OTR 53380 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441	Ellen Bruneel, OTR 53380 Carmichael Dr, South Bend, IN 46635-1567 Ph: (574) 247-9441

Reviews and Comments

Occupational Therapist in South Bend, IN

Ellen Jean Eaton, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-3945
Gerald Oler, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1520 Enchanted Forest St, South Bend, IN 46637 Phone: 574-404-1524
Kristin Shide, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075
Elizabeth Anne Sullivan, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 53880 Carmichael Dr, South Bend, IN 46635 Phone: 574-247-9441 Fax: 574-247-9442
Mrs. Penny R Fitzpatrick, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1950 Ridgedale Rd, South Bend, IN 46614 Phone: 574-291-6722
Julie White, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2012 Ironwood Cir, Suite 230, South Bend, IN 46635 Phone: 574-387-4049
Starr E Kelly, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2505 E Jefferson Blvd, South Bend, IN 46615 Phone: 574-289-4831 Fax: 574-234-2075

Ellen Bruneel, OTR - Medicare Occupational Therapist in South Bend, IN