Bright Soul Wellness Center - Medicare Primary Care in Brazil, IN

Bright Soul Wellness Center is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Brazil, Indiana. The current practice location for Bright Soul Wellness Center is 2186 W Us Highway 40, Brazil, Indiana. For appointments, you can reach them via phone at (812) 878-8223. The mailing address for Bright Soul Wellness Center is 2186 W Us Highway 40, Brazil, Indiana and phone number is (812) 878-8223.

Bright Soul Wellness Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1598465551. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (812) 878-8223.

Contact Information

Bright Soul Wellness Center
2186 W Us Highway 40
Brazil
IN 47834-7201
(812) 878-8223
(812) 443-0668

Primary Care Clinic Profile

Full NameBright Soul Wellness Center
SpecialityClinic/Center
Location2186 W Us Highway 40, Brazil, Indiana
Authorized Official Name and PositionMaranda Mckinney (OWNER/FNP)
Authorized Official Contact8128788223
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Bright Soul Wellness Center
2186 W Us Highway 40
Brazil
IN 47834-7201

Ph: (812) 878-8223
Bright Soul Wellness Center
2186 W Us Highway 40
Brazil
IN 47834-7201

Ph: (812) 878-8223

NPI Details:

NPI Number1598465551
Provider Enumeration Date03/08/2023
Last Update Date04/09/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8426423260
Medicare Enrollment IDO20230410002383

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Medical Identifiers

Medical identifiers for Bright Soul Wellness Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598465551NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Bright Soul Wellness Center acts as a billing entity for following providers:
Provider NameMaranda R Mckinney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689127854
PECOS PAC ID: 8426339946
Enrollment ID: I20161221000974

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