Jill K Brunstad, PA is a medicare enrolled "Physician Assistant" in Eagle River, Wisconsin. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Nova Integrated Care Llc and her current practice location is
302 W Pine St Ste 2, Eagle River, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 891-0088.
Jill K Brunstad is licensed to practice in Wisconsin (license number 2234) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902861131.
Provider's Profile
| Full Name | Jill K Brunstad |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 23 Years |
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| Location | 302 W Pine St Ste 2, Eagle River, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jill K Brunstad graduated from nursing school in 2003
NPI Data:
- NPI Number: 1902861131
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 04/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719051614
- Enrollment ID: I20100114000804
Medical Identifiers
Medical identifiers for Jill K Brunstad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902861131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 001000611 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | 2234 (Wisconsin) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nova Integrated Care Llc | 2860837291 | 3 |
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. Jill K Brunstad allows following entities to bill medicare on her behalf.
| Entity Name | Nova Integrated Care LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679355358
PECOS PAC ID: 2860837291
Enrollment ID: O20240226001791 |
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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. Jill K Brunstad 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 |
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Jill K Brunstad, PA
302 W Pine St Ste 2,
Eagle River, WI 54521-9349
Ph: (715) 891-0088 | Jill K Brunstad, PA
302 W Pine St Ste 2,
Eagle River, WI 54521-9349
Ph: (715) 891-0088 |
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