Holly Beth Bruno, FNP-C is a medicare enrolled "Nurse Practitioner" in Lipan, Texas. Her current practice location is
336 Sugartree Cir, Lipan, Tx 76462, Lipan, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 964-4281.
Holly Beth Bruno is licensed to practice in Texas (license number 1110273) 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 1407533623.
Provider's Profile
Full Name | Holly Beth Bruno |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 336 Sugartree Cir, Lipan, Texas |
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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: 1407533623
- Provider Enumeration Date: 06/29/2023
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193187946
- Enrollment ID: I20230811000154
Medical Identifiers
Medical identifiers for Holly Beth Bruno such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407533623 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 1110273 (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. Holly Beth Bruno allows following entities to bill medicare on her behalf.
Entity Name | Rdm Home Medical, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790285468 PECOS PAC ID: 0345502365 Enrollment ID: O20180402001392 |
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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. Holly Beth Bruno 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 |
Holly Beth Bruno, FNP-C 804 Santa Fe Dr Ste 100b, Weatherford, TX 76086-6582 Ph: () - | Holly Beth Bruno, FNP-C 336 Sugartree Cir, Lipan, Tx 76462, Lipan, TX 76462 Ph: (817) 964-4281 |
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