| Rebecca Nicole Brueck, MSN RN PMHNP-BC | |
|
836 N Detroit St, Lagrange, IN 46761-1112 | |
| (260) 499-3019 | |
| (260) 499-3022 |
| Full Name | Rebecca Nicole Brueck |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 836 N Detroit St, Lagrange, Indiana |
| 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 |
|---|---|---|---|
| 1003120510 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 4704277738 (Michigan) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71017278A (Indiana) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Illume Wellness Group | 4880088210 | 2 |
| Entity Name | Lakeland Immediate Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982677548 PECOS PAC ID: 2264423771 Enrollment ID: O20040524000042 |
| Entity Name | West Michigan Psychological Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215407044 PECOS PAC ID: 6103238167 Enrollment ID: O20201215003321 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Nicole Brueck, MSN RN PMHNP-BC 2621 E Jefferson St, Warsaw, IN 46580-3880 Ph: (574) 267-7169 | Rebecca Nicole Brueck, MSN RN PMHNP-BC 836 N Detroit St, Lagrange, IN 46761-1112 Ph: (260) 499-3019 |
Mrs. Abby Marie Levitz, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 Fax: 260-463-4237 | |
Ms. Arlene R Word-white, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 Fax: 260-463-4237 | |
Mrs. Lauren Fiandt, AGNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Mrs. Sasha Danielle Plank, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2120 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2468 | |
Kari Ann Rader, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Sara L Harris, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 | |
Rebekah A Rakoczy, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 N Detroit St, Lagrange, IN 46761 Phone: 260-463-2133 Fax: 260-463-3775 |