Mandy De Bruin, CNP in Savannah, GA - Medicare Nurse Practitioner

Mandy De Bruin, CNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Savannah, Georgia. Her current practice location is 1139 Lexington Ave Ste A, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 303-4200.

Mandy De Bruin is licensed to practice in Georgia (license number GAA-NP000003) 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 1033789672.

Contact Information

	Mandy De Bruin, CNP
	1139 Lexington Ave Ste A, Savannah, GA 31404-5502
	(912) 303-4200
	(912) 790-2701

Map and Direction

Provider's Profile

Full Name	Mandy De Bruin
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1139 Lexington Ave Ste A, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033789672
Provider Enumeration Date: 06/27/2021
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 5193121309
Enrollment ID: I20240301000314

Medical Identifiers

Medical identifiers for Mandy De Bruin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033789672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	24265 (South Carolina)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	APRN11013219 (Florida)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	GAA-NP000003 (Georgia)	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. Mandy De Bruin allows following entities to bill medicare on her behalf.

Entity Name	Aga, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124064118 PECOS PAC ID: 2365431350 Enrollment ID: O20040506000726

Entity Name	Aga Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063799120 PECOS PAC ID: 3870768997 Enrollment ID: O20111219000311

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. Mandy De Bruin 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
Mandy De Bruin, CNP 1139 Lexington Ave Ste A, Savannah, GA 31404-5502 Ph: (912) 303-4200	Mandy De Bruin, CNP 1139 Lexington Ave Ste A, Savannah, GA 31404-5502 Ph: (912) 303-4200

Reviews and Comments

Nurse Practitioner Nurses in Savannah, GA

Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843
Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040
Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676

Mandy De Bruin, CNP - Medicare Nurse Practitioner in Savannah, GA