Michael David Brunner, PHD in Saint Paul, MN - Medicare Psychologist Provider

Michael David Brunner, PHD is a medicare enrolled "Psychologist" provider in Saint Paul, Minnesota. His current practice location is 445 Etna St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 254-4804.

Michael David Brunner is licensed to practice in Minnesota (license number LP4417) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1093794349.

Contact Information

	Michael David Brunner, PHD
	445 Etna St, Saint Paul, MN 55106-5857
	(651) 254-4804
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michael David Brunner
Gender	Male
Speciality	Psychologist
Location	445 Etna St, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093794349
Provider Enumeration Date: 01/14/2006
Last Update Date: 05/12/2017

Medicare PECOS Information:

PECOS PAC ID: 9335134816
Enrollment ID: I20040415000254

Medical Identifiers

Medical identifiers for Michael David Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093794349	NPI	-	NPPES
175177800	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP4417 (Minnesota)	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. Michael David Brunner allows following entities to bill medicare on his behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Michael David Brunner 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
Michael David Brunner, PHD 445 Etna St, Saint Paul, MN 55106-5857 Ph: (651) 254-4804	Michael David Brunner, PHD 445 Etna St, Saint Paul, MN 55106-5857 Ph: (651) 254-4804

Reviews and Comments

Psychologist in Saint Paul, MN

Dr. Daniel Anthony Christensen, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 190 5th St E, Suite 100, Saint Paul, MN 55101 Phone: 651-291-1979
Mr. Paul Sterlacci, LIC. PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2375 University Ave W, Suite 160, Saint Paul, MN 55114 Phone: 651-642-1709
Dr. Tamarind Knutson, PSY.D., L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1360 Energy Park Dr Ste 340, Saint Paul, MN 55108 Phone: 651-646-8985
Abdinoor Abdullahi Hassan, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th St E, Saint Paul, MN 55106 Phone: 315-450-7121
Mohamed Omar Galal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 967 5th Street East, Saint Paul, MN 55106 Phone: 315-450-7121 Fax: 651-389-0540
Ms. Sharon Grace Lamb, LP LMFT Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1137 Portland Ave, Saint Paul, MN 55104 Phone: 651-290-9088 Fax: 651-290-9311
Jeffry Alan Cottle, MA, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4164 Hemlock Ln, Saint Paul, MN 55127 Phone: 651-308-7176

Michael David Brunner, PHD - Medicare Psychologist in Saint Paul, MN