Eric J Bruster, PSYD is a
Psychologist based in Muskego, Wisconsin. Eric J Bruster is licensed to practice in Wisconsin (license number 3597) and his current practice location is
S74w16775 Janesville Rd, Muskego, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 773-4312.
NPI number for Eric J Bruster is 1720128523 and his current mailing address is S74w16775 Janesville Rd, Muskego, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720128523.
Healthcare Provider's Profile
| Full Name | Eric J Bruster |
|---|
| Gender | Male |
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| Speciality | Psychologist |
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| Location | S74w16775 Janesville Rd, Muskego, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720128523
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 08/26/2020
Medical Identifiers
Medical identifiers for Eric J Bruster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720128523 | NPI | - | NPPES |
| 100083826 | Medicaid | WI | |
| 420716337 | Medicaid | IA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 00716 (Iowa) | Secondary |
| 103TC0700X | Psychologist - Clinical | 00716 (Iowa) | Secondary |
| 103TH0100X | Psychologist - Health Service | 00280 (Iowa) | Secondary |
| 103T00000X | Psychologist | 3597 (Wisconsin) | Primary |
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. Eric J Bruster is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eric J Bruster, PSYD
S74w16775 Janesville Rd,
Muskego, WI 53150-7742
Ph: (414) 773-4312 | Eric J Bruster, PSYD
S74w16775 Janesville Rd,
Muskego, WI 53150
Ph: (414) 773-4312 |
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