Connie A Bronson, - Medicare Nurse Practitioner in Bedford, IN

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Connie A Bronson, is a medicare enrolled "Nurse Practitioner - Family" in Bedford, Indiana. Her current practice location is 1141 16th St, Bedford, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 536-8874.

Connie A Bronson is licensed to practice in Indiana (license number 71007448A) 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 1922521608.

Contact Information

Connie A Bronson,
1141 16th St,
Bedford, IN 47421-3721
(574) 536-8874
Not Available

Map and Direction




Provider's Profile

Full NameConnie A Bronson
GenderFemale
SpecialityNurse Practitioner - Family
Location1141 16th St, Bedford, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922521608
  • Provider Enumeration Date: 07/25/2017
  • Last Update Date: 09/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3476827122
  • Enrollment ID: I20170920000716

Medical Identifiers

Medical identifiers for Connie A Bronson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922521608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71007448A (Indiana)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 71007448A (Indiana)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. Connie A Bronson allows following entities to bill medicare on her behalf.
Entity NameVpa Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366768160
PECOS PAC ID: 9234041948
Enrollment ID: O20090318000016
Entity NameCleanslate Medical Group Of Indiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023464294
PECOS PAC ID: 4880963909
Enrollment ID: O20171023001515

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. Connie A Bronson 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 AddressPractice Location Address
Connie A Bronson,
13090 Petigru Dr,
Carmel, IN 46032-4436

Ph: (317) 733-8608		Connie A Bronson,
1141 16th St,
Bedford, IN 47421-3721

Ph: (574) 536-8874

Reviews and Comments


Nurse Practitioner Nurses in Bedford, IN

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Mrs. Alyssa Brooke Kellams, NP
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Phone: 812-508-8683    
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Mrs. Amanda Sue Bowman, NP-C
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Practice Location: 629 Lincoln Ave, Bedford, IN 47421
Phone: 812-675-4470    Fax: 812-675-4469
Cathern Amanda Pruett, NP
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Phone: 812-277-0118    Fax: 812-277-0127

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.