Malisica T Brunner, MSN APRN FNP-C in Shepherdsville, KY

Malisica T Brunner, MSN APRN FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Shepherdsville, Kentucky. Her current practice location is 1903 W Hebron Ln, Shepherdsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (502) 367-3360.

Malisica T Brunner is licensed to practice in Kentucky (license number 3016567) 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 1508536368.

Contact Information

	Malisica T Brunner, MSN APRN FNP-C
	1903 W Hebron Ln, Shepherdsville, KY 40165-7425
	(502) 367-3360
	Not Available

Map and Direction

Provider's Profile

Full Name	Malisica T Brunner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1903 W Hebron Ln, Shepherdsville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508536368
Provider Enumeration Date: 09/14/2021
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 3072905868
Enrollment ID: I20220128001521

Medical Identifiers

Medical identifiers for Malisica T Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508536368	NPI	-	NPPES
7100795200	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	3016567 (Kentucky)	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. Malisica T Brunner allows following entities to bill medicare on her behalf.

Entity Name	University Of Louisville Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036

Entity Name	Clear Path Recovery Solutions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548083355 PECOS PAC ID: 5991229692 Enrollment ID: O20250403001377

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. Malisica T Brunner 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
Malisica T Brunner, MSN APRN FNP-C Po Box 909, Louisville, KY 40201-0909 Ph: (502) 367-3360	Malisica T Brunner, MSN APRN FNP-C 1903 W Hebron Ln, Shepherdsville, KY 40165-7425 Ph: (502) 367-3360

Reviews and Comments

Nurse Practitioner Nurses in Shepherdsville, KY

Kaelin Jansen, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 802 Overhill Dr, Business Office, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844
Stephanie Leigh Houin, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 130 Joe B Hall Ave, Shepherdsville, KY 40165 Phone: 502-955-6447
Kelsey Danielle Pehlke, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1707 Cedar Grove Rd Ste 10, Shepherdsville, KY 40165 Phone: 502-543-3246
Ms. Maressa Coley, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6302 Highway 44 E, Shepherdsville, KY 40165 Phone: 502-572-9019
Mrs. Carla Brewer, DNP, MSN-APRN-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Business Office, 802 Overhill Dr, Shepherdsville, KY 40165 Phone: 502-543-9124 Fax: 502-543-0844
Amber Jane Allen, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Cedar Place Dr, Shepherdsville, KY 40165 Phone: 502-649-2571
Tarah D Wafzig, APRN-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 187 Adam Shepherd Pkwy Ste 5, Shepherdsville, KY 40165 Phone: 502-543-4119 Fax: 502-543-1462

Malisica T Brunner, MSN APRN FNP-C - Medicare Nurse Practitioner in Shepherdsville, KY