Dr Jonathan J Bruno, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Carthage, Mississippi. His current practice location is
1100 Highway 16 E, Carthage, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 267-1470.
Dr Jonathan J Bruno is licensed to practice in Mississippi (license number 19353) 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 1861421406.
Physician's Profile
Full Name | Dr Jonathan J Bruno |
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Gender | Male |
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Speciality | Obstetrics & Gynecology |
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Location | 1100 Highway 16 E, Carthage, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1861421406
- Provider Enumeration Date: 07/03/2006
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 7315944907
- Enrollment ID: I20061024000248
Medical Identifiers
Medical identifiers for Dr Jonathan J Bruno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861421406 | NPI | - | NPPES |
07150851 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207V00000X | Obstetrics & Gynecology | 19353 (Mississippi) | 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. Dr Jonathan J Bruno allows following entities to bill medicare on his behalf.
Entity Name | Medical Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609820539 PECOS PAC ID: 9234043712 Enrollment ID: O20031118000855 |
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Entity Name | Southwest Mississippi Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982174488 PECOS PAC ID: 5193633907 Enrollment ID: O20080512000004 |
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Entity Name | Obhg Mississippi Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083995674 PECOS PAC ID: 7416120407 Enrollment ID: O20111108000567 |
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Entity Name | Premier Women's Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700214426 PECOS PAC ID: 9133358443 Enrollment ID: O20140222000013 |
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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. Dr Jonathan J Bruno 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 |
Dr Jonathan J Bruno, MD 965 Ridge Lake Blvd Ste 103, Memphis, TN 38120-9446 Ph: (901) 227-3255 | Dr Jonathan J Bruno, MD 1100 Highway 16 E, Carthage, MS 39051-4222 Ph: (601) 267-1470 |
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