Breanna Jordan Brousseau, NP is a medicare enrolled "Nurse Practitioner" physician in Wilmington, North Carolina. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wilmington Health Pllc and her current practice location is
1202 Medical Center Dr, Wilmington, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 341-3459.
Breanna Jordan Brousseau is licensed to practice in North Carolina (license number 5015119) 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 1578235453.
Physician's Profile
| Full Name | Breanna Jordan Brousseau |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 1202 Medical Center Dr, Wilmington, North Carolina |
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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:
- Breanna Jordan Brousseau graduated from medical school in 2015
NPI Data:
- NPI Number: 1578235453
- Provider Enumeration Date: 09/29/2021
- Last Update Date: 02/03/2023
Medicare PECOS Information:
- PECOS PAC ID: 1951791300
- Enrollment ID: I20211130000003
Medical Identifiers
Medical identifiers for Breanna Jordan Brousseau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578235453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 5015119 (North Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 5015119 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5015119 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wilmington Health Pllc | 6103722509 | 283 |
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. Breanna Jordan Brousseau allows following entities to bill medicare on her behalf.
| Entity Name | Wilmington Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881632339
PECOS PAC ID: 6103722509
Enrollment ID: O20031208000800 |
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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. Breanna Jordan Brousseau 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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Breanna Jordan Brousseau, NP
1202 Medical Center Dr,
Wilmington, NC 28401-7307
Ph: (910) 617-6705 | Breanna Jordan Brousseau, NP
1202 Medical Center Dr,
Wilmington, NC 28401-7307
Ph: (910) 341-3459 |
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