Mrs Heather Renee Brown, FNP-C in Fort Wayne, IN

Mrs Heather Renee Brown, FNP-C is a medicare enrolled "Nurse Practitioner" in Fort Wayne, Indiana. Her current practice location is 3005 E State, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 267-9498.

Mrs Heather Renee Brown is licensed to practice in Indiana (license number 71007791A) 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 1619475779.

Contact Information

	Mrs Heather Renee Brown, FNP-C
	3005 E State, Fort Wayne, IN 46805
	(260) 267-9498
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Heather Renee Brown
Gender	Female
Speciality	Nurse Practitioner
Location	3005 E State, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619475779
Provider Enumeration Date: 01/24/2018
Last Update Date: 06/20/2025

Medicare PECOS Information:

PECOS PAC ID: 7012270655
Enrollment ID: I20180413000959

Medical Identifiers

Medical identifiers for Mrs Heather Renee Brown such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619475779	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	28164199A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71007791A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	7100791A (Indiana)	Secondary
363L00000X	Nurse Practitioner	71007791A (Indiana)	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. Mrs Heather Renee Brown allows following entities to bill medicare on her behalf.

Entity Name	Brookside Medical Home Visits Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306339742 PECOS PAC ID: 8325389984 Enrollment ID: O20190408002379

Entity Name	Psych Pointe, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861087355 PECOS PAC ID: 1557764016 Enrollment ID: O20210722000410

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. Mrs Heather Renee Brown 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
Mrs Heather Renee Brown, FNP-C 3005 E State, Fort Wayne, IN 46805 Ph: (260) 267-9498	Mrs Heather Renee Brown, FNP-C 3005 E State, Fort Wayne, IN 46805 Ph: (260) 267-9498

Reviews and Comments

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Mrs Heather Renee Brown, FNP-C - Medicare Nurse Practitioner in Fort Wayne, IN