DR. MAYRA BEAUCHAMP BRUNO M.D.
NPI 1003015173
Dermatology in Manchester, NH

NPI Status: Active since July 17, 2007

Contact Information

100 HITCHCOCK WAY
MANCHESTER, NH
ZIP 03104
Phone: (603) 695-2500

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  • Individual
  • Female
  • Years of Experience 19
  • Dermatology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MAYRA BEAUCHAMP BRUNO

Mayra Beauchamp Bruno is a provider established in Manchester, New Hampshire and her medical specialization is Dermatology with more than 19 years of experience. She graduated from University Of Puerto Rico School Of Medicine in 2005. The healthcare provider is registered in the NPI registry with number 1003015173 assigned on July 2007. The practitioner's primary taxonomy code is 207N00000X with license number 16259 (NH). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1003015173
Provider Name
DR. MAYRA BEAUCHAMP BRUNO M.D.
Other Name
DR. MAYRA CRISTINA BEAUCHAMP BRUNO M.D.
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
100 HITCHCOCK WAY MANCHESTER, NH 03104
Location Phone
(603) 695-2500
Mailing Address
PO BOX 810 HANOVER, NH 03755
Mailing Phone
(603) 308-1472
Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year
2005
Is Sole Proprietor?
No
Enumeration Date
07-17-2007
Last Update Date
07-26-2023
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A dermatologist like Mayra Beauchamp Bruno is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Mayra Beauchamp Bruno is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $23.06 for a new patient copayment and $18.76 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
16259
License State
NH
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207N00000XAllopathic & Osteopathic Physicians

Dermatology

17621 (PR)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Ambetter from NH Healthy Families

    • Choice Bronze HSA - EPO
    • Choice Bronze HSA + Vision + Adult Dental - EPO
    • Complete Gold - EPO
    • Complete Gold + Vision + Adult Dental - EPO
    • Complete Silver - EPO
    • Complete Silver + Vision + Adult Dental - EPO
    • Elite Bronze - EPO
    • Elite Bronze + Vision + Adult Dental - EPO
    • Elite Silver - EPO
    • Elite Silver + Vision + Adult Dental - EPO
  • Anthem Blue Cross and Blue Sheld

    • Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA - PPO
    • Anthem Bronze Preferred Blue PPO 8500/50%/9450 - PPO
    • Anthem Gold Preferred Blue PPO 1000/20%/7500 - PPO
    • Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD - PPO
    • Anthem Gold Preferred Blue PPO 2000/10%/4725 w/HSA - PPO
    • Anthem Gold Preferred Blue PPO 2000/10%/8000 - PPO
    • Anthem Gold Preferred Blue PPO 2000/10%/8000 WH - PPO
    • Anthem Gold Preferred Blue PPO 2000/20%/4725 w/HSA - PPO
    • Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD - PPO
    • Anthem Gold Preferred Blue PPO 500/25%/7000 - PPO
  • Anthem Blue Cross and Blue Shield

    • Anthem Bronze Pathway X Enhanced 5500/35% ($0 Preferred Virtual Care + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway X Enhanced 6000/30% ($0 Preferred Virtual Care + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway X Enhanced 6000/35% HSA - HMO
    • Anthem Bronze Pathway X Enhanced 6500/40% ($0 Preferred Virtual Care + $0 Select Drugs) - HMO
    • Anthem Bronze Pathway X Enhanced 7500/50% ($0 Preferred Virtual Care + $0 Select Drugs) Standard - HMO
    • Anthem Catastrophic Pathway X Enhanced 9450/0% - HMO
    • Anthem Gold Pathway X Enhanced 1200/20% ($0 Preferred Virtual Care + $0 Select Drugs) - HMO
    • Anthem Gold Pathway X Enhanced 1500/25% ($0 Preferred Virtual Care + $0 Select Drug) Standard - HMO
    • Anthem Gold Pathway X Enhanced 700/40% ($0 Preferred Virtual Care + $0 Select Drugs) - HMO
    • Anthem Silver Pathway X Enhanced 3500/15% HSA - HMO
  • Harvard Pilgrim Health Care

    • NH Local Choice HMO Bronze 6500 - HMO
    • NH Local Choice HMO Bronze 7200 - HMO
    • NH Local Choice HMO Bronze 8000 - HMO
    • NH Local Choice HMO Gold - HMO
    • NH Local Choice HMO Gold 1400 - HMO
    • NH Local Choice HMO HSA Bronze 6000 - HMO
    • NH Local Choice HMO Silver 2500 - HMO
    • NH Local Choice HMO Silver 3500 - HMO
    • NH Local Choice HMO Silver 4000 - HMO
    • NH Local Choice HMO Silver 5000 - HMO
  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3091082MEDICAID (05)NH 

PECOS Enrollment and Medicare Participation Status

Mayra Beauchamp Bruno is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 143404608

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20131230001519

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 03104 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $92.25
  • Minimum New Patient Price $60.13
  • Maximum New Patient Price $181.55
  • Average New Patient Copayment $23.06
  • Minimum New Patient Copayment $15.03
  • Maximum New Patient Copayment $45.38

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $75.06
  • Minimum Established Patient Price $18.89
  • Maximum Established Patient Price $148.44
  • Average Established Patient Copayment $18.76
  • Minimum Established Patient Copayment $4.72
  • Maximum Established Patient Copayment $37.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 363

    Destruction of 2-14 skin growths (HCPCS:17003)

  • 130

    Destruction of skin growth (HCPCS:17000)

  • 89

    Tangential biopsy of single skin lesion (HCPCS:11102)

  • 67

    Destruction of up to 14 skin growths (HCPCS:17110)

  • 14

    Tangential biopsy of additional skin lesion (HCPCS:11103)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mayra Beauchamp Bruno is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
MARY HITCHCOCK MEMORIAL HOSPITAL1 MEDICAL CENTER DRIVE
LEBANON, NH 3756
(603) 650-5000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003015173
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20030110114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 1 + 1 + 0 + 1 + 1 + 4 + 24 = 37
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 37 = 33

The NPI number 1003015173 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1255312674 PAUL C SCHREIBER MD
Individual
Pediatrics100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1821071747DR. LAWTON H SHICK M.D.
Individual
Internal Medicine (Gastroenterology)100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1215999305DR. GERALD HARVEY ANGOFF M.D.
Individual
Internal Medicine (Cardiovascular Disease)100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1962456160DR. LISA M PLOTNIK MD
Individual
Internal Medicine100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1720035199DR. DAVID J. ABELS M.D.
Individual
Specialist100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1720035975DR. VIJAYA UPADRASTA M.D
Individual
Internal Medicine100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1114964038 G. ERIC GESLIEN MD
Individual
Radiology (Diagnostic Radiology)100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 629-1877
1033157193DR. SOL ROCKENMACHER M.D.
Individual
Pediatrics (Pediatric Cardiology)100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1114964517DR. SHIRLEY V GALUCKI MD
Individual
Obstetrics & Gynecology100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1508804253DR. PAMELA HOFLEY M.D.
Individual
Pediatrics (Pediatric Gastroenterology)100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1396784468DR. STEVEN ANDREW PARIS MD
Individual
Pediatrics100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1962442335DR. HENRY L. ELLIS MD
Individual
Family Medicine100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1326089525DR. CHRISTOPHER W SLUSHER MD
Individual
Emergency Medicine100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1962443374MS. ANA V. NOGUEIRA PA-C
Individual
Physician Assistant100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1174564132DR. PAULA LOVINSKI M.D.
Individual
Internal Medicine100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1336180090DR. ROBERT JOHN WILLER M.D.
Individual
Dermatology100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1477595353MRS. HEATHER ANN GALLAGHER PA-C
Individual
Physician Assistant100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1881636777DR. PHAT CO NGUYEN D.O.
Individual
Internal Medicine100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1831131861DR. LAWRENCE B WOLBARSHT M.D.
Individual
Radiology (Diagnostic Radiology)100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500
1639111859DR. SUSAN E. LYNCH MD
Individual
Pediatrics100 HITCHCOCK WAY
MANCHESTER, NH 03104
(603) 695-2500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003015173, enumerated in the NPI registry as an "individual" on July 17, 2007

The provider is located at 100 Hitchcock Way Manchester, Nh 03104 and the phone number is (603) 695-2500

The provider's speciality is Dermatology with taxonomy code 207N00000X

The provider has more than 19 years of experience. She graduated from University Of Puerto Rico School Of Medicine in 2005.

The provider might be accepting Accepts: Ambetter from NH Healthy Families, Anthem Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of May 10, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $92.25 with an average copayment of $23.06 for new patient appointments. Established patients should expect a typical charge of $75.06 and an average copayment of 18.76. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Destruction of 2-14 skin growths, Destruction of skin growth, Tangential biopsy of single skin lesion, Destruction of up to 14 skin growths and Tangential biopsy of additional skin lesion.

The practitioner is affiliated to the following hospital(s): MARY HITCHCOCK MEMORIAL HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on July 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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