Elaine J Bruckner, PHD in Bowling Green, OH - Medicare Clinical Psychologist Provider

Elaine J Bruckner, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bowling Green, Ohio. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Anxiety Treatment Center Of Greater Toledo Llc and her current practice location is 970 W Wooster St, Suite 124, Bowling Green, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 352-6666.

Elaine J Bruckner is licensed to practice in Ohio (license number 5040) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1063596567.

Contact Information

	Elaine J Bruckner, PHD
	970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643
	(419) 352-6666
	(419) 353-1117

Map and Direction

Healthcare Provider's Profile

Full Name	Elaine J Bruckner
Gender	Female
Speciality	Clinical Psychologist
Experience	30 Years
Location	970 W Wooster St, Bowling Green, Ohio
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Elaine J Bruckner graduated from medical school in 1994

NPI Data:

NPI Number: 1063596567
Provider Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648177436
Enrollment ID: I20031218000713

Medical Identifiers

Medical identifiers for Elaine J Bruckner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063596567	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	5040 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anxiety Treatment Center Of Greater Toledo Llc	6507198199	5

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. Elaine J Bruckner allows following entities to bill medicare on her behalf.

Entity Name	Anxiety Treatment Center Of Greater Toledo Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710539580 PECOS PAC ID: 6507198199 Enrollment ID: O20191031001842

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. Elaine J Bruckner 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
Elaine J Bruckner, PHD 970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643 Ph: (419) 352-6666	Elaine J Bruckner, PHD 970 W Wooster St, Suite 124, Bowling Green, OH 43402-2643 Ph: (419) 352-6666

Reviews and Comments

Psychologist in Bowling Green, OH

William Hayes Obrien, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: Of Psychology, Bowling Green State University, Bowling Green, OH 43403 Phone: 419-372-2973
Dr. Robert A Carels, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 822 East Merry Street Psychological Services Center, 300 Psychology Building, Bowling Green State University, Bowling Green, OH 43403 Phone: 419-372-2540 Fax: 419-372-2533
Emily Ann Padgett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588
Noelle C Duvall, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1045 Klotz Rd, Bowling Green, OH 43402 Phone: 419-352-7588 Fax: 419-354-4977
Wayne David Morse, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 441 Frazee Ave Ste A, Bowling Green, OH 43402 Phone: 419-575-7910 Fax: 419-386-0951
Dr. Dryw O Dworsky, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Psychological Services Center, 300 Psychology Building, Bgsu, Bowling Green, OH 43403 Phone: 419-372-2540 Fax: 419-372-2533

Elaine J Bruckner, PHD - Medicare Psychologist in Bowling Green, OH