Dr Laura Brunner, MD - Medicare Pediatrics in Fairbanks, AK

Dr Laura Brunner, MD is a medicare enrolled "Pediatrics" physician in Fairbanks, Alaska. Her current practice location is 1001 Noble St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3520.

Dr Laura Brunner is licensed to practice in Alaska (license number 6588) 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 1184770778.

Contact Information

Dr Laura Brunner, MD
1001 Noble St,
Fairbanks, AK 99701-4922
(907) 459-3520
(907) 459-3526



Physician's Profile

Full NameDr Laura Brunner
GenderFemale
SpecialityPediatrics
Location1001 Noble St, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184770778
  • Provider Enumeration Date: 01/26/2007
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0941354153
  • Enrollment ID: I20090821000187

Medical Identifiers

Medical identifiers for Dr Laura Brunner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184770778NPI-NPPES
1009375MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 6588 (Alaska)Primary
208000000XPediatrics 47809 (Colorado)Secondary

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. Dr Laura Brunner allows following entities to bill medicare on her behalf.
Entity NameTanana Valley Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922559558
PECOS PAC ID: 5698056901
Enrollment ID: O20161228001991

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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. Dr Laura Brunner 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 AddressPractice Location Address
Dr Laura Brunner, MD
1001 Noble St,
Fairbanks, AK 99701-4922

Ph: (907) 459-3500
Dr Laura Brunner, MD
1001 Noble St,
Fairbanks, AK 99701-4922

Ph: (907) 459-3520

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Pediatrics Doctors in Fairbanks, AK

Dr. James Timothy Foote, M.D.
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Dr. Marvin Bergeson, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3526
Dr. Mishelle Nace, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Dr. Corneliu Antonescu, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Dr. John Matthew De Pasquale, MD, MPH, DTM&H
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1001 Noble St, Fairbanks, AK 99701
Phone: 907-459-3520    Fax: 907-459-3554
Manal Shihadeh, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1919 Lathrop St Ste 204, Fairbanks, AK 99701
Phone: 907-374-2637    Fax: 907-374-2632

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