| Michelle Brusen, | |
|
425 University Blvd, Round Rock, TX 78665-1047 | |
| (512) 509-0100 | |
| Not Available |
| Full Name | Michelle Brusen |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 3 Years |
| Location | 425 University Blvd, Round Rock, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649055989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA17317 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Scott & White Hospital-round Rock | Round rock, TX | Hospital |
| Baylor Scott & White Medical Center – Pflugerville | Pflugerville, TX | Hospital |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | Hospital |
| Baylor Scott & White Medical Center - Marble Falls | Marble falls, TX | Hospital |
| Baylor Scott & White Medical Center- Austin | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Scott And White Clinic | 8123923604 | 2426 |
| Entity Name | Scott & White Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Brusen, Po Box 844658, Dallas, TX 75284-4658 Ph: Not Available | Michelle Brusen, 425 University Blvd, Round Rock, TX 78665-1047 Ph: (512) 509-0100 |
Hirut Nicodimos, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 302 University Blvd, Round Rock, TX 78665 Phone: 512-509-0200 |
Elizabeth D Bishop, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7200 Wyoming Spgs, Ste 300, Round Rock, TX 78681 Phone: 512-244-2273 Fax: 512-244-3179 |
Donna Marie Prokop-fettig, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1201 Sam Bass Rd, Round Rock, TX 78681 Phone: 512-388-1861 Fax: 512-388-0373 |
Jerrad Michael Stoddard, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2410 Round Rock Ave Ste 150, Round Rock, TX 78681 Phone: 512-341-8724 Fax: 512-687-0295 |
Shelby E Wasil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2000 S Mays St Ste 201, Round Rock, TX 78664 Phone: 512-244-4272 Fax: 512-244-2895 |
Christopher Carl Hanson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16020 Park Valley Dr, Round Rock, TX 78681 Phone: 512-244-0766 |
Caitlyn Baker, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1001 Little Oak Way, Round Rock, TX 78681 Phone: 512-255-8868 |