| Brian Dean Brazzell, FNP | |
|
105 Teke Burton Dr, Mitchell, IN 47446-1208 | |
| (812) 849-3408 | |
| (812) 849-5630 |
| Full Name | Brian Dean Brazzell |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 105 Teke Burton Dr, Mitchell, Indiana |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558614461 | NPI | - | NPPES |
| 28151328A | Other | IN | RN |
| 71004232A | Other | IN | FNP LICENSE # |
| 71004232B | Other | IN | CSR PRESCRIPTIVE AUTHORITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 28151328 (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health | Bloomington, IN | Home health agency |
| Hoosier Uplands Home Health Care | Mitchell, IN | Home health agency |
| Indiana University Health Bedford Hospital | Bedford, IN | Hospital |
| Indiana University Health Paoli Hospital | Paoli, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Indiana University Health Bloomington Hospital | Bloomington, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Indiana University Health Paoli Inc | 2668426016 | 7 |
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Entity Name | Indiana University Health Paoli Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457519324 PECOS PAC ID: 2668426016 Enrollment ID: O20050308001174 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Dean Brazzell, FNP 105 Teke Burton Dr, Mitchell, IN 47446-1208 Ph: (812) 849-3408 | Brian Dean Brazzell, FNP 105 Teke Burton Dr, Mitchell, IN 47446-1208 Ph: (812) 849-3408 |
Mrs. Melissa Ann Ray, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2759 State Road 37, Mitchell, IN 47446 Phone: 812-992-5440 Fax: 812-992-5441 | |
Mrs. Kristi Jo Nissley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2759 State Road 37, Mitchell, IN 47446 Phone: 812-849-6420 | |
Mrs. Natalie Dawn Coleman, AGACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 537 Marion St, Mitchell, IN 47446 Phone: 812-797-5891 |