Mallory Belanger Bruneau, - Medicare Nurse Practitioner in Tilton, NH

  1. Home
  2. Nurse Practitioner
  3. NH
  4. Tilton
Mallory Belanger Bruneau, is a medicare enrolled "Nurse Practitioner - Acute Care" in Tilton, New Hampshire. Her current practice location is 139 Winter St, Tilton, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 527-4400.

Mallory Belanger Bruneau is licensed to practice in New Hampshire (license number 075906-23) 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 1578339164.

Contact Information

Mallory Belanger Bruneau,
139 Winter St,
Tilton, NH 03276-5415
(603) 527-4400
Not Available

Map and Direction




Provider's Profile

Full NameMallory Belanger Bruneau
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location139 Winter St, Tilton, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578339164
  • Provider Enumeration Date: 11/27/2023
  • Last Update Date: 12/13/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496105835
  • Enrollment ID: I20231227000830

Medical Identifiers

Medical identifiers for Mallory Belanger Bruneau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578339164NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 075906-23 (New Hampshire)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. Mallory Belanger Bruneau allows following entities to bill medicare on her behalf.
Entity NamePmc Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396121240
PECOS PAC ID: 0345545737
Enrollment ID: O20160223001322
Entity NameTheoria Medical
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609362375
PECOS PAC ID: 5395098339
Enrollment ID: O20210712003011

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. Mallory Belanger Bruneau 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 AddressPractice Location Address
Mallory Belanger Bruneau,
18 Ty Ln,
Concord, NH 03303-1049

Ph: () -		Mallory Belanger Bruneau,
139 Winter St,
Tilton, NH 03276-5415

Ph: (603) 527-4400

Reviews and Comments


Nurse Practitioner Nurses in Tilton, NH

Michael Smirnioudis, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 75 Laconia Rd Ste 500, Tilton, NH 03276
Phone: 603-526-4635    
Emily Rachel Parker, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 614 Laconia Rd Unit 2, Tilton, NH 03276
Phone: 603-717-7020    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.