Brandy Sullivan Branham, FNP in Independence, KY

Brandy Sullivan Branham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Independence, Kentucky. Her current practice location is 1700 Declaration Dr, Independence, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 898-1608.

Brandy Sullivan Branham is licensed to practice in Kentucky (license number 3017539) 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 1215677166.

Contact Information

	Brandy Sullivan Branham, FNP
	1700 Declaration Dr, Independence, KY 41051-8441
	(859) 898-1608
	Not Available

Map and Direction

Provider's Profile

Full Name	Brandy Sullivan Branham
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1700 Declaration Dr, Independence, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215677166
Provider Enumeration Date: 03/30/2022
Last Update Date: 03/26/2025

Medicare PECOS Information:

PECOS PAC ID: 4789051285
Enrollment ID: I20221111001108

Medical Identifiers

Medical identifiers for Brandy Sullivan Branham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215677166	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3017539 (Kentucky)	Primary
363L00000X	Nurse Practitioner	3017539 (Kentucky)	Secondary
363LF0000X	Nurse Practitioner - Family	APRN.CNP.0030691 (Ohio)	Secondary

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. Brandy Sullivan Branham allows following entities to bill medicare on her behalf.

Entity Name	The Little Clinic Of Ohio Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982761896 PECOS PAC ID: 7719087584 Enrollment ID: O20070709000336

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. Brandy Sullivan Branham 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
Brandy Sullivan Branham, FNP Po Box 932958, Cleveland, OH 44193-0028 Ph: () -	Brandy Sullivan Branham, FNP 1700 Declaration Dr, Independence, KY 41051-8441 Ph: (859) 898-1608

Reviews and Comments

Nurse Practitioner Nurses in Independence, KY

Mrs. Kristine C Disibio, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11745 Madison Pike, Independence, KY 41051 Phone: 859-356-3941 Fax: 859-356-0338
Mrs. Deborah Truesdell, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Courthouse Xing, Independence, KY 41051 Phone: 859-356-6800 Fax: 859-363-4073
Lerin Middendorf, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Roselawn Dr, Independence, KY 41051 Phone: 859-322-7118
Ms. Jennifer Anne Epperson, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 135 Courthouse Crossing, Independence, KY 41051 Phone: 859-356-6800 Fax: 859-363-4073
Xiaomin Amy Benson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1142 Bridge Rd, Independence, KY 41051 Phone: 859-816-1189
Ciara Nicole Mann, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 Declaration Dr, Independence, KY 41051 Phone: 859-989-1608

Brandy Sullivan Branham, FNP - Medicare Nurse Practitioner in Independence, KY