Judy Bruckner, PHD in Watkinsville, GA - Medicare Psychologist Provider

Judy Bruckner, PHD is a medicare enrolled "Psychologist" provider in Watkinsville, Georgia. Her current practice location is 1551 Jennings Mill Rd Unit 2000b, Watkinsville, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 316-9095.

Judy Bruckner is licensed to practice in Georgia (license number 2174) 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 1104924620.

Contact Information

	Judy Bruckner, PHD
	1551 Jennings Mill Rd Unit 2000b, Watkinsville, GA 30677-7252
	(706) 316-9095
	(706) 353-8948

Map and Direction

Healthcare Provider's Profile

Full Name	Judy Bruckner
Gender	Female
Speciality	Psychologist
Location	1551 Jennings Mill Rd Unit 2000b, Watkinsville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104924620
Provider Enumeration Date: 09/20/2006
Last Update Date: 01/17/2023

Medicare PECOS Information:

PECOS PAC ID: 8820068612
Enrollment ID: I20040729000036

Medical Identifiers

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

Identifier	Type	State	Issuer
1104924620	NPI	-	NPPES
582430452	Other	GA	BLUE CROSS BLUE SHIELD GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC1900X	Psychologist - Counseling	2174 (Georgia)	Secondary
103T00000X	Psychologist	2174 (Georgia)	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. Judy Bruckner allows following entities to bill medicare on her behalf.

Entity Name	Judy A. Bruckner, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528182789 PECOS PAC ID: 5092945568 Enrollment ID: O20140228000854

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. Judy 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
Judy Bruckner, PHD 1551 Jennings Mill Rd Unit 2000b, Watkinsville, GA 30677-7252 Ph: (706) 316-9095	Judy Bruckner, PHD 1551 Jennings Mill Rd Unit 2000b, Watkinsville, GA 30677-7252 Ph: (706) 316-9095

Reviews and Comments

Psychologist in Watkinsville, GA

Jane Kilgo, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1030 Village Dr, Watkinsville, GA 30677 Phone: 706-769-4535 Fax: 706-769-2750
Dr. Amy Kristiana Heesacker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1551 Jennings Mill Rd Unit 2000b, Watkinsville, GA 30677 Phone: 706-460-3105
Dr. Charles F Zanone Iv, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1551 Jennings Mill Rd Unit 2000b, Watkinsville, GA 30677 Phone: 706-201-6921 Fax: 888-858-1679
Brandon Jeremy Register, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1020 Barber Creek Drive, Suite 113, Unit 6, Watkinsville, GA 30677 Phone: 706-248-1524 Fax: 800-949-8404
Dr. Alan L Campbell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1551 Jennings Mill Rd, Watkinsville, GA 30677 Phone: 706-714-2384
Fengkan Zhu, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 Phone: 706-449-0273

Judy Bruckner, PHD - Medicare Psychologist in Watkinsville, GA