Jared Edward Bruder, ARNP in Coeur D Alene, ID

Jared Edward Bruder, ARNP is a medicare enrolled "Nurse Practitioner" in Coeur D Alene, Idaho. His current practice location is 1110 W Park Pl Ste 320, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 261-2255.

Jared Edward Bruder is licensed to practice in Washington (license number AP61017581) 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 1023654548.

Contact Information

	Jared Edward Bruder, ARNP
	1110 W Park Pl Ste 320, Coeur D Alene, ID 83814-2783
	(208) 261-2255
	Not Available

Map and Direction

Provider's Profile

Full Name	Jared Edward Bruder
Gender	Male
Speciality	Nurse Practitioner
Location	1110 W Park Pl Ste 320, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023654548
Provider Enumeration Date: 11/19/2019
Last Update Date: 03/24/2025

Medicare PECOS Information:

PECOS PAC ID: 6608201405
Enrollment ID: I20210510000979

Medical Identifiers

Medical identifiers for Jared Edward Bruder such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023654548	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	67924 (Idaho)	Secondary
363L00000X	Nurse Practitioner	AP61017581 (Washington)	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. Jared Edward Bruder allows following entities to bill medicare on his behalf.

Entity Name	Mental Wellness And Relationship Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932773363 PECOS PAC ID: 5092106443 Enrollment ID: O20211220002179

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. Jared Edward Bruder 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
Jared Edward Bruder, ARNP 1110 W Park Pl Ste 303, Coeur D Alene, ID 83814-2784 Ph: (208) 261-2255	Jared Edward Bruder, ARNP 1110 W Park Pl Ste 320, Coeur D Alene, ID 83814-2783 Ph: (208) 261-2255

Reviews and Comments

Nurse Practitioner Nurses in Coeur D Alene, ID

Deborah Magnuson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-769-8616
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645

Jared Edward Bruder, ARNP - Medicare Nurse Practitioner in Coeur D Alene, ID