Breanna Wootson, CRNP in Laceys Spring, AL - Medicare Nurse Practitioner

Breanna Wootson, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Laceys Spring, Alabama. Her current practice location is 4258 Highway 231 Ste 5, Laceys Spring, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 498-6500.

Breanna Wootson is licensed to practice in Alabama (license number 1-160877) 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 1902598246.

Contact Information

	Breanna Wootson, CRNP
	4258 Highway 231 Ste 5, Laceys Spring, AL 35754-6444
	(256) 498-6500
	Not Available

Map and Direction

Provider's Profile

Full Name	Breanna Wootson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4258 Highway 231 Ste 5, Laceys Spring, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902598246
Provider Enumeration Date: 05/24/2023
Last Update Date: 05/24/2023

Medicare PECOS Information:

PECOS PAC ID: 1658731104
Enrollment ID: I20230717001187

Medical Identifiers

Medical identifiers for Breanna Wootson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902598246	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1-160877 (Alabama)	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. Breanna Wootson allows following entities to bill medicare on her behalf.

Entity Name	Valley Sunrise Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215699160 PECOS PAC ID: 8628466794 Enrollment ID: O20211021001601

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 Wootson 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
Breanna Wootson, CRNP 157 Silver Strand Trl, Huntsville, AL 35806-4710 Ph: (256) 468-6045	Breanna Wootson, CRNP 4258 Highway 231 Ste 5, Laceys Spring, AL 35754-6444 Ph: (256) 498-6500

Reviews and Comments

Nurse Practitioner Nurses in Laceys Spring, AL

Tammy Lynn Wilson, AGACNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4258 Highway 231 Ste 5, Laceys Spring, AL 35754 Phone: 256-498-6500 Fax: 256-970-2929
Rebecca Dianna Worsham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4258 Highway 231 Ste 5, Laceys Spring, AL 35754 Phone: 256-498-5770 Fax: 256-498-5799

Breanna Wootson, CRNP - Medicare Nurse Practitioner in Laceys Spring, AL