| Brandi Bruner, | |
|
6610 Se Quakervale Rd, Riverton, KS 66770-4185 | |
| (620) 848-2300 | |
| Not Available |
| Full Name | Brandi Bruner |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 11 Years |
| Location | 6610 Se Quakervale Rd, Riverton, Kansas |
| 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 |
|---|---|---|---|
| 1548627136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | T-LMLP 2681 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| College Skyline Center Llc | 0749383842 | 15 |
| Entity Name | College Skyline Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598764110 PECOS PAC ID: 0749383842 Enrollment ID: O20070309000442 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandi Bruner, Po Box 550, Riverton, KS 66770-0550 Ph: () - | Brandi Bruner, 6610 Se Quakervale Rd, Riverton, KS 66770-4185 Ph: (620) 848-2300 |
Julie Vogel, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Daniel J Mcnally, MS, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 | |
Susan Lopez, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Clifford Mcquillen Jr., LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Michael Willis, LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 | |
Elizabeth Nicholson, TLMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6610 Se Quakervale Rd, Riverton, KS 66770 Phone: 620-848-2300 Fax: 620-848-2301 |