Brandi Bruner, | |
6610 Se Quakervale Rd, Riverton, KS 66770-4185 | |
(620) 848-2300 | |
Not Available |
Full Name | Brandi Bruner |
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Gender | Female |
Speciality | Psychologist |
Location | 6610 Se Quakervale Rd, Riverton, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548627136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | T-LMLP 2681 (Kansas) | Primary |
Entity Name | College Skyline Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598764110 PECOS PAC ID: 0749383842 Enrollment ID: O20070309000442 |
Mailing Address | Practice Location Address |
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Brandi Bruner, Po Box 550, Riverton, KS 66770-0550 Ph: () - | Brandi Bruner, 6610 Se Quakervale Rd, Riverton, KS 66770-4185 Ph: (620) 848-2300 |
Julie Vogel, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Daniel J Mcnally, MS, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 | |
Susan Lopez, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Clifford Mcquillen Jr., LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Sally Pullman-rinkel, Psychologist Medicare: Medicare Enrolled Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Michael Willis, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 |