Courtney Bruyere, is a medicare enrolled "Social Worker - Clinical" provider in Willmar, Minnesota. She graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Nystrom And Associates Ltd and her current practice location is
201 28th Ave Sw, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 214-8558.
Courtney Bruyere is licensed to practice in Minnesota (license number 29331) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1659192649.
Healthcare Provider's Profile
| Full Name | Courtney Bruyere |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 6 Years |
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| Location | 201 28th Ave Sw, Willmar, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Courtney Bruyere graduated from medical school in 2020
NPI Data:
- NPI Number: 1659192649
- Provider Enumeration Date: 10/22/2024
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224550892
- Enrollment ID: I20250324002370
Medical Identifiers
Medical identifiers for Courtney Bruyere such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659192649 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 306359 (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 29331 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nystrom And Associates Ltd | 6406752492 | 459 |
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. Courtney Bruyere allows following entities to bill medicare on her behalf.
| Entity Name | Nystrom & Associates Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396750188
PECOS PAC ID: 6406752492
Enrollment ID: O20031210000592 |
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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. Courtney Bruyere 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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Courtney Bruyere,
201 28th Ave Sw,
Willmar, MN 56201-5241
Ph: (320) 214-8558 | Courtney Bruyere,
201 28th Ave Sw,
Willmar, MN 56201-5241
Ph: (320) 214-8558 |
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