Tracey Lynn Bruner, FNP in Kilgore, TX - Medicare Nurse Practitioner

Tracey Lynn Bruner, FNP is a medicare enrolled "Nurse Practitioner - Family" in Kilgore, Texas. Her current practice location is 1600 S Henderson Blvd, Kilgore, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 475-3474.

Tracey Lynn Bruner is licensed to practice in Texas (license number 1015649) 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 1093319006.

Contact Information

	Tracey Lynn Bruner, FNP
	1600 S Henderson Blvd, Kilgore, TX 75662-3518
	(903) 475-3474
	(903) 367-0300

Map and Direction

Provider's Profile

Full Name	Tracey Lynn Bruner
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1600 S Henderson Blvd, Kilgore, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093319006
Provider Enumeration Date: 11/30/2020
Last Update Date: 10/14/2024

Medicare PECOS Information:

PECOS PAC ID: 6507391778
Enrollment ID: I20241125002157

Medical Identifiers

Medical identifiers for Tracey Lynn Bruner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093319006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1093319006 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	1015649 (Texas)	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. Tracey Lynn Bruner allows following entities to bill medicare on her behalf.

Entity Name	Wound Management Specialists Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972150084 PECOS PAC ID: 5193056364 Enrollment ID: O20200610001466

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. Tracey Lynn Bruner 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
Tracey Lynn Bruner, FNP 1600 S Henderson Blvd, Kilgore, TX 75662-3518 Ph: (903) 475-3474	Tracey Lynn Bruner, FNP 1600 S Henderson Blvd, Kilgore, TX 75662-3518 Ph: (903) 475-3474

Reviews and Comments

Nurse Practitioner Nurses in Kilgore, TX

Jolyn Kaye Hawkins, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1016 N Kilgore St, Kilgore, TX 75662 Phone: 903-522-4199 Fax: 903-522-4015
Mr. Christopher Kirk Bailey, APRN-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1718 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-983-2110 Fax: 903-984-3783
Hao Deng, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-215-3149
Valerie Michelle Vaughn-smith, APRN,MSN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3105 Rockbrook Dr, Kilgore, TX 75662 Phone: 903-812-0684
Allyson Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 E Lantrip St, Kilgore, TX 75662 Phone: 903-983-0081 Fax: 903-983-0082
April Luquette, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S Henderson Blvd, Kilgore, TX 75662 Phone: 903-215-3149 Fax: 903-367-0300

Tracey Lynn Bruner, FNP - Medicare Nurse Practitioner in Kilgore, TX