Jacob Russell Bryde, DNP, AGPCNP-BC in East Lansing, MI

Jacob Russell Bryde, DNP, AGPCNP-BC is a medicare enrolled "Nurse Practitioner - Gerontology" in East Lansing, Michigan. His current practice location is 804 Service Rd Ste A110, East Lansing, Michigan. You can reach out to his office (for appointments etc.) via phone at (517) 353-2822.

Jacob Russell Bryde is licensed to practice in Michigan (license number 4704335991) 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 1821836024.

Contact Information

	Jacob Russell Bryde, DNP, AGPCNP-BC
	804 Service Rd Ste A110, East Lansing, MI 48824-7015
	(517) 353-2822
	(517) 355-2824

Map and Direction

Provider's Profile

Full Name	Jacob Russell Bryde
Gender	Male
Speciality	Nurse Practitioner - Gerontology
Location	804 Service Rd Ste A110, East Lansing, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821836024
Provider Enumeration Date: 07/20/2024
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 4587197082
Enrollment ID: I20241022005107

Medical Identifiers

Medical identifiers for Jacob Russell Bryde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821836024	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	4704335991 (Michigan)	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. Jacob Russell Bryde allows following entities to bill medicare on his behalf.

Entity Name	Msu Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700418670 PECOS PAC ID: 8628404936 Enrollment ID: O20200518002744

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. Jacob Russell Bryde 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
Jacob Russell Bryde, DNP, AGPCNP-BC 804 Service Rd Ste A202, East Lansing, MI 48824-7015 Ph: (517) 355-2822	Jacob Russell Bryde, DNP, AGPCNP-BC 804 Service Rd Ste A110, East Lansing, MI 48824-7015 Ph: (517) 353-2822

Reviews and Comments

Nurse Practitioner Nurses in East Lansing, MI

Paul Folk, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424
Mr. Benjamin Owen Marshall, MSN, FNP-BC, CPHQ Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3500 Coolidge Rd, East Lansing, MI 48823 Phone: 517-940-7615
Lindsey Ford, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4650 S Hagadorn Rd Ste 100, East Lansing, MI 48823 Phone: 517-353-4941 Fax: 517-432-3145
Kayeleigh Annemarie Brown, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 517-432-5033
Kelsey Garred, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 Pine Hollow Dr Ste 400, East Lansing, MI 48823 Phone: 517-339-1676 Fax: 517-339-2716
Mackenzie Darr, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1355 Bogue St, East Lansing, MI 48824 Phone: 800-605-6424
Ms. April Paulette Morris, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 804 Service Rd, A217, East Lansing, MI 48824 Phone: 517-353-8122 Fax: 517-432-3713

Jacob Russell Bryde, DNP, AGPCNP-BC - Medicare Nurse Practitioner in East Lansing, MI