Derek Wayne Bruner, FNP-BC in Jacksonville, FL

Derek Wayne Bruner, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jacksonville, Florida. His current practice location is 4655 Salisbury Rd Ste 220, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 239-5958.

Derek Wayne Bruner is licensed to practice in Florida (license number APRN11026910) 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 1376228528.

Contact Information

	Derek Wayne Bruner, FNP-BC
	4655 Salisbury Rd Ste 220, Jacksonville, FL 32256-0959
	(352) 239-5958
	Not Available

Map and Direction

Provider's Profile

Full Name	Derek Wayne Bruner
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4655 Salisbury Rd Ste 220, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376228528
Provider Enumeration Date: 06/15/2023
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2668834235
Enrollment ID: I20230814002481

Medical Identifiers

Medical identifiers for Derek Wayne Bruner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376228528	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	APRN11026910 (Florida)	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. Derek Wayne Bruner allows following entities to bill medicare on his behalf.

Entity Name	Integumetrix
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366895716 PECOS PAC ID: 1759669773 Enrollment ID: O20191219001277

Entity Name	B & J Express Care Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942812540 PECOS PAC ID: 4183043128 Enrollment ID: O20200924002633

Entity Name	Arukah Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245077924 PECOS PAC ID: 7315479961 Enrollment ID: O20241021002082

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. Derek Wayne Bruner 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
Derek Wayne Bruner, FNP-BC Po Box 2127, Smyrna, TN 37167-1711 Ph: (844) 673-6968	Derek Wayne Bruner, FNP-BC 4655 Salisbury Rd Ste 220, Jacksonville, FL 32256-0959 Ph: (352) 239-5958

Reviews and Comments

Nurse Practitioner Nurses in Jacksonville, FL

Mrs. Rhode L. Jean-aleger, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10075 Gate Pkwy N Apt 102, Jacksonville, FL 32246 Phone: 904-997-9844 Fax: 904-997-9844
Jennifer Salenga Arguilla, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8773 Perimeter Park Ct, Jacksonville, FL 32216 Phone: 904-493-3390 Fax: 904-493-3395
Jessica Pelkowski, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Shannon Kathleen Burns, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Christy Mcewen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1700b, Unit 1, Jacksonville, FL 32207 Phone: 904-398-0125 Fax: 904-389-1832
Danielle Harper Key, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4425 Merrimac Ave, Jacksonville, FL 32210 Phone: 904-346-0050 Fax: 904-346-0080
Mr. Jeffrey Ludan Vongjesda, M.S., APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3728 Philips Hwy Ste 34, Jacksonville, FL 32207 Phone: 904-399-2766 Fax: 904-549-8300

Derek Wayne Bruner, FNP-BC - Medicare Nurse Practitioner in Jacksonville, FL