John Paul Brunelle, PHD in Charlotte, NC - Medicare Clinical Psychologist Provider

John Paul Brunelle, PHD is a medicare enrolled "Psychologist" provider in Charlotte, North Carolina. He graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Novant Medical Group Inc and his current practice location is 4741 Randolph Rd Ste 100, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 365-6730.

John Paul Brunelle is licensed to practice in North Carolina (license number 4190) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891027819.

Contact Information

	John Paul Brunelle, PHD
	4741 Randolph Rd Ste 100, Charlotte, NC 28211-2919
	(704) 365-6730
	(704) 365-6731

Map and Direction

Healthcare Provider's Profile

Full Name	John Paul Brunelle
Gender	Male
Speciality	Clinical Psychologist
Experience	23 Years
Location	4741 Randolph Rd Ste 100, Charlotte, North Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

John Paul Brunelle graduated from medical school in 2001

NPI Data:

NPI Number: 1891027819
Provider Enumeration Date: 02/01/2010
Last Update Date: 10/18/2022

Medicare PECOS Information:

PECOS PAC ID: 5799961058
Enrollment ID: I20220519000691

Medical Identifiers

Medical identifiers for John Paul Brunelle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891027819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	B1-0000738 (Delaware)	Secondary
103T00000X	Psychologist	4190 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Novant Medical Group Inc	1153234893	2023

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. John Paul Brunelle allows following entities to bill medicare on his behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

Entity Name	Cotswold Clinician Support Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063893568 PECOS PAC ID: 3971884511 Enrollment ID: O20161220000490

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. John Paul Brunelle 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
John Paul Brunelle, PHD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 365-6730	John Paul Brunelle, PHD 4741 Randolph Rd Ste 100, Charlotte, NC 28211-2919 Ph: (704) 365-6730

Reviews and Comments

Psychologist in Charlotte, NC

Jennifer Manning Thomas, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 206, Charlotte, NC 28211 Phone: 704-381-8336
Raquan Moser, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5108 Reagan Dr Ste 14, Charlotte, NC 28206 Phone: 704-332-8387
Sara L Schara Mcanulty, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 E 7th St, Charlotte, NC 28204 Phone: 704-375-8900 Fax: 704-335-7178
Dr. Rebecca Griffin Smith, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 769 N Wendover Rd, Charlotte, NC 28211 Phone: 704-376-7180 Fax: 704-531-9266
Chantel Simpson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17512 Chaco Ln, Charlotte, NC 28278 Phone: 718-926-0914
Briana Melissa Webber-lind, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12815 Longstraw Rd, Charlotte, NC 28227 Phone: 704-490-5848
Dr. Heather Noel Anschuetz-jeffers, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10001 Old Concord Rd, Charlotte, NC 28213 Phone: 704-547-7483 Fax: 704-547-0052

John Paul Brunelle, PHD - Medicare Psychologist in Charlotte, NC