Jessica Bruny, is a medicare enrolled "Speech-language Pathologist" provider in Worthington, Minnesota. Her current practice location is
1307 S Shore Dr, Worthington, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 376-3175.
Jessica Bruny is licensed to practice in New York (license number 022218) 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 1093271371.
Healthcare Provider's Profile
| Full Name | Jessica Bruny |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 1307 S Shore Dr, Worthington, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1093271371
- Provider Enumeration Date: 02/12/2019
- Last Update Date: 02/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961830641
- Enrollment ID: I20221221000884
Medical Identifiers
Medical identifiers for Jessica Bruny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093271371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 022218 (New York) | 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. Jessica Bruny allows following entities to bill medicare on her behalf.
| Provider Name | Global Speech-language Pathology Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710359625
PECOS PAC ID: 3577865120
Enrollment ID: O20160113002103 |
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| Provider Name | Essential Ot Pt Slp & Psychology Services Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1093226805
PECOS PAC ID: 9133486301
Enrollment ID: O20171122002124 |
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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. Jessica Bruny 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 |
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Jessica Bruny,
501 Midwood St Apt 2r,
Brooklyn, NY 11225-4551
Ph: (347) 251-4114 | Jessica Bruny,
1307 S Shore Dr,
Worthington, MN 56187-1344
Ph: (507) 376-3175 |
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