Lisa Michelle Brunner, PHYSICAL THERAPIST is a medicare enrolled "Physical Therapist - Orthopedic" provider in Brazoria, Texas. Her current practice location is
9036 County Road 628, Brazoria, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 665-8888.
Lisa Michelle Brunner is licensed to practice in Texas (license number 1098754) 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 1861118143.
Healthcare Provider's Profile
| Full Name | Lisa Michelle Brunner |
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| Gender | Female |
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| Speciality | Physical Therapist - Orthopedic |
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| Location | 9036 County Road 628, Brazoria, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1861118143
- Provider Enumeration Date: 10/18/2022
- Last Update Date: 10/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 0547629933
- Enrollment ID: I20230703001194
Medical Identifiers
Medical identifiers for Lisa Michelle Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861118143 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2251X0800X | Physical Therapist - Orthopedic | 1098754 (Texas) | 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. Lisa Michelle Brunner allows following entities to bill medicare on her behalf.
| Provider Name | Max Rehab & Sport Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1043719164
PECOS PAC ID: 4587911565
Enrollment ID: O20180723000764 |
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| Provider Name | Total Physical Therapy & Rehab |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1265114508
PECOS PAC ID: 6103264676
Enrollment ID: O20240403000331 |
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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. Lisa Michelle Brunner 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 |
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Lisa Michelle Brunner, PHYSICAL THERAPIST
9036 County Road 628,
Brazoria, TX 77422-6640
Ph: (979) 665-8888 | Lisa Michelle Brunner, PHYSICAL THERAPIST
9036 County Road 628,
Brazoria, TX 77422-6640
Ph: (979) 665-8888 |
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