MS. MARY JOAN BRUNNER (NPI# 1164647210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164647210 |
| Entity Type | Individual |
| Full Name | MS. MARY JOAN BRUNNER |
| Practice Address |
201 S William St South Bend IN 46601-2515 |
| Practice Telephone | 5742342870 |
| Practice Fax Number | 5742322872 |
| Mailing Telephone | 5742342870 |
| Mailing Fax Number | 5742322872 |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992114052 | Mary Brunner | Specialist/Technologist | 3320 Hemlock Ln Apt 632, Miamisburg, OH 45342-5376 | 2014-08-03 |
| 1184779084 | Mary Najjar Brunner | Optometrist | 2700 Town Center Dr Nw, H-2, Kennesaw, GA 30144-6800 | 2007-01-24 |
| 1073535399 | Mary Jo Brunner | Dietitian, Registered | 1617 E Division St, River Falls, WI 54022 | 2006-07-24 |
| 1407005952 | Mary M Brunner | Licensed Practical Nurse | 3527 Harlem Rd, Cheektowaga, NY 14225-1552 | 2008-09-09 |
| 1871535567 | Mary R Brunner | Pediatrics | 1650 W Oak St, Suite 210, Zionsville, IN 46077-3836 | 2006-06-10 |
| Street Address |
201 S WILLIAM ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46601-2515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962460279 | Aids Ministries/aids Assist of North Indiana | Case Management | 201 S William St, South Bend, IN 46601-2515 | 2006-05-03 |
| 1740832492 | Healthy U Rx Inc. | Pharmacy | 201 S William St, South Bend, IN 46601-2515 | 2019-07-12 |
| 1407149719 | Betty Jeanne Tacy | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2011-05-19 |
| 1659664076 | Christopher J Ellenberger | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2011-05-18 |
| 1205128980 | Whitney Mcmillin | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2011-05-12 |
| 1932352507 | Leeah Hopper | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2008-10-28 |
| 1922251594 | Tamika Robbins | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2008-10-28 |
| 1558514125 | Kelley Belgarde | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2008-10-28 |
| 1134341555 | Rise Yvonne Silas | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2007-05-03 |
| 1124240551 | Carol Jean Young | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447610449 | David Thomas | Hearing Instrument Specialist | 808 S Michigan St., South Bend, IN 46601 | 2016-03-03 |
| 1285072454 | Kevin Francis Cumper | Internal Medicine | 621 Memorial Dr Ste 624, South Bend, IN 46601 | 2013-06-11 |
| 1952605560 | Robert Lusk Bonham | Dentist | 1222 L.w.e., So. Bend, IN 46601 | 2010-12-23 |
| 1649580911 | Daniel Scott Debrule | Psychologist | 211 W. Washington Street, Suite 2311, South Bend, IN 46601 | 2010-10-20 |
| 1528390770 | Luke Alfred White | Internal Medicine | 615 N. Michigan St., Memorial Hospital, C/o Erin Smith, South Bend, IN 46601 | 2010-02-12 |
| 1548497837 | Tmg Home Health Care | Home Health | 108 N Main St #305, South Bend, IN 46601 | 2009-06-15 |
| 1225283039 | Jody L. Hughes | Counselor | 202 S. Michigan Street, Suite 875, South Bend, IN 46601 | 2008-11-20 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1851590269 | Warren Larry Penrod | Nurse Practitioner | 333 W. Western Ave, South Bend, IN 46601 | 2007-07-16 |
| Find all providers in zip 46601 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275039778 | Marilyn Marie Dodd | Case Manager/Care Coordinator | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-04-03 |
| 1407149719 | Betty Jeanne Tacy | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2011-05-19 |
| 1659664076 | Christopher J Ellenberger | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2011-05-18 |
| 1205128980 | Whitney Mcmillin | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2011-05-12 |
| 1932352507 | Leeah Hopper | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2008-10-28 |
| 1922251594 | Tamika Robbins | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2008-10-28 |
| 1558514125 | Kelley Belgarde | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2008-10-28 |
| 1760692974 | Julie A Sellers | Case Manager/Care Coordinator | 818 E Jefferson Blvd, South Bend, IN 46617-2905 | 2007-05-23 |
| 1912119686 | Lori Gillis | Case Manager/Care Coordinator | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-05-04 |
| 1134341555 | Rise Yvonne Silas | Case Manager/Care Coordinator | 201 S William St, South Bend, IN 46601-2515 | 2007-05-03 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46601 |
Please comment or provide details below to improve the information on MS. MARY JOAN BRUNNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.