Keith R Bruno, MD in Tucker, GA - Medicare Dermatology

Keith R Bruno, MD is a medicare enrolled "Dermatology" physician in Tucker, Georgia. He went to Medical College Of Georgia School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 200 Crescent Center Pkwy, Department Of Dermatology, Tucker, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 496-3605.

Keith R Bruno is licensed to practice in Georgia (license number 038701) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164530184.

Contact Information

	Keith R Bruno, MD
	200 Crescent Center Pkwy, Department Of Dermatology, Tucker, GA 30084-7047
	(770) 496-3605
	(770) 496-3707

Map and Direction

Physician's Profile

Full Name	Keith R Bruno
Gender	Male
Speciality	Dermatology
Experience	36 Years
Location	200 Crescent Center Pkwy, Tucker, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith R Bruno attended and graduated from Medical College Of Georgia School Of Medicine in 1988

NPI Data:

NPI Number: 1164530184
Provider Enumeration Date: 08/29/2006
Last Update Date: 01/06/2022

Medicare PECOS Information:

PECOS PAC ID: 5395934806
Enrollment ID: I20110114000528

Medical Identifiers

Medical identifiers for Keith R Bruno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164530184	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	038701 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	576

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. Keith R Bruno allows following entities to bill medicare on his behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

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. Keith R 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
Keith R Bruno, MD 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 364-7000	Keith R Bruno, MD 200 Crescent Center Pkwy, Department Of Dermatology, Tucker, GA 30084-7047 Ph: (770) 496-3605

Reviews and Comments

Dermatology Doctors in Tucker, GA

Dr. Steven S Thomas, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2185 Northlake Pkwy, Suite 104, Tucker, GA 30084 Phone: 770-934-7200 Fax: 770-934-7243
Zlatan Oruc, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 1777 Montreal Cir, Tucker, GA 30084 Phone: 770-934-9200
Marvin B Kayes, PAC Dermatology Medicare: Not Enrolled in Medicare Practice Location: 200 Crescent Centre Park, Department Of Dermatology, Tucker, GA 30084 Phone: 770-496-3605 Fax: 770-496-3707

Keith R Bruno, MD - Medicare Dermatology in Tucker, GA