Jordan Bruestle, in Minnetonka, MN - Medicare Speech-Language Pathologist Provider

Jordan Bruestle, is a medicare enrolled "Speech-language Pathologist" provider in Minnetonka, Minnesota. Her current practice location is 10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 364-1901.

Jordan Bruestle is licensed to practice in * (Not Available) (license number ) 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 1437830213.

Contact Information

	Jordan Bruestle,
	10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543
	(612) 364-1901
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jordan Bruestle
Gender	Female
Speciality	Speech-language Pathologist
Location	10653 Wayzata Blvd Ste 200, Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437830213
Provider Enumeration Date: 07/26/2023
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 5597127993
Enrollment ID: I20230817000246

Medical Identifiers

Medical identifiers for Jordan Bruestle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437830213	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	(* (Not Available))	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. Jordan Bruestle allows following entities to bill medicare on her behalf.

Provider Name	Odom Sports Medicine Pa
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275557886 PECOS PAC ID: 0143485607 Enrollment ID: O20120706000533

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. Jordan Bruestle 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
Jordan Bruestle, 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 Ph: () -	Jordan Bruestle, 10653 Wayzata Blvd Ste 200, Minnetonka, MN 55305-1543 Ph: (612) 364-1901

Reviews and Comments

Speech-Language Pathologist in Minnetonka, MN

Mrs. Katy Marie Cloutier, MA,CCC,SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760
Alexa Ronayne, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 10653 Wayzata Blvd, Minnetonka, MN 55305 Phone: 612-364-1901
Elizabeth Marie Deacon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396
Bertone Speech Language & Communication Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11606 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-544-0349
Caroline M Hardyman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Plymouth Rd, Suite 220, Minnetonka, MN 55305 Phone: 952-223-2506
Joan Cromwell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396
Ms. Elina Kotlyar, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396

Jordan Bruestle, - Medicare Speech-Language Pathologist in Minnetonka, MN