Carl Brueggemann Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Florence, Kentucky. His current practice location is
8718 Signal Pointe Ct, Florence, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 371-6419.
Carl Brueggemann Jr is licensed to practice in Kentucky (license number 3001240) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649294828.
Provider's Profile
| Full Name | Carl Brueggemann Jr |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 8718 Signal Pointe Ct, Florence, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1649294828
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 12/06/2013
Medicare PECOS Information:
- PECOS PAC ID: 9436110970
- Enrollment ID: I20041019000937
Medical Identifiers
Medical identifiers for Carl Brueggemann Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649294828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 367500000X | Nurse Anesthetist, Certified Registered | 3001240 (Kentucky) | 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. Carl Brueggemann Jr allows following entities to bill medicare on his behalf.
| Entity Name | Providian Anesthesia Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821654666 PECOS PAC ID: 2264765791 Enrollment ID: O20190614000874 |
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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. Carl Brueggemann Jr 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 |
Carl Brueggemann Jr, CRNA 8718 Signal Pointe Ct, Florence, KY 41042-8405 Ph: (859) 371-6419 | Carl Brueggemann Jr, CRNA 8718 Signal Pointe Ct, Florence, KY 41042-8405 Ph: (859) 371-6419 |
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