Jennifer Elayne Bruer-vandeweert, is a medicare enrolled "Physical Therapist" provider in Dryden, New York. Her current practice location is
10 Hilton Rd, Dryden, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 227-6340.
Jennifer Elayne Bruer-vandeweert is licensed to practice in New York (license number 043748) 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 1710450606.
Healthcare Provider's Profile
Full Name | Jennifer Elayne Bruer-vandeweert |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 10 Hilton Rd, Dryden, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710450606
- Provider Enumeration Date: 01/03/2019
- Last Update Date: 01/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 9436482387
- Enrollment ID: I20190606003075
Medical Identifiers
Medical identifiers for Jennifer Elayne Bruer-vandeweert such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710450606 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 9429 (South Carolina) | Secondary |
225100000X | Physical Therapist | 1313495 (Texas) | Secondary |
225100000X | Physical Therapist | 18459 (North Carolina) | Secondary |
225100000X | Physical Therapist | 34271 (Florida) | Secondary |
225100000X | Physical Therapist | 043748 (New York) | 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. Jennifer Elayne Bruer-vandeweert allows following entities to bill medicare on her behalf.
Provider Name | Greenville Proaxis Therapy Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1669457859 PECOS PAC ID: 0244267771 Enrollment ID: O20050726000769 |
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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. Jennifer Elayne Bruer-vandeweert 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 |
Jennifer Elayne Bruer-vandeweert, 10 Hilton Rd, Dryden, NY 13053-9709 Ph: (607) 227-6340 | Jennifer Elayne Bruer-vandeweert, 10 Hilton Rd, Dryden, NY 13053-9709 Ph: (607) 227-6340 |
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