Brianna De Ruyter, AGACNP-BC in Montgomery, TX

Brianna De Ruyter, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Montgomery, Texas. Her current practice location is 19969 Pine Ln, Montgomery, Texas. You can reach out to her office (for appointments etc.) via phone at (713) 822-6573.

Brianna De Ruyter is licensed to practice in Texas (license number 1059586) 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 1861150666.

Contact Information

	Brianna De Ruyter, AGACNP-BC
	19969 Pine Ln, Montgomery, TX 77356-2113
	(713) 822-6573
	Not Available

Map and Direction

Provider's Profile

Full Name	Brianna De Ruyter
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	19969 Pine Ln, Montgomery, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861150666
Provider Enumeration Date: 11/30/2021
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 2163816851
Enrollment ID: I20220223000051

Medical Identifiers

Medical identifiers for Brianna De Ruyter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861150666	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1059586 (Texas)	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. Brianna De Ruyter allows following entities to bill medicare on her behalf.

Entity Name	Millennium Physicians Association Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255397733 PECOS PAC ID: 3375515455 Enrollment ID: O20040810000051

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. Brianna De Ruyter 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
Brianna De Ruyter, AGACNP-BC 19969 Pine Ln, Montgomery, TX 77356-2113 Ph: (713) 822-6573	Brianna De Ruyter, AGACNP-BC 19969 Pine Ln, Montgomery, TX 77356-2113 Ph: (713) 822-6573

Reviews and Comments

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Brianna De Ruyter, AGACNP-BC - Medicare Nurse Practitioner in Montgomery, TX