DR. MAYRA BEAUCHAMP BRUNO M.D. NPI 1003015173

Dermatology in Concord, NH

NPI 1003015173 Individual Female Years of Experience 17 Dermatology PECOS Enrolled Accepts Medicare Approved Payment

About MAYRA BEAUCHAMP BRUNO

Mayra Beauchamp Bruno is a provider established in Concord, New Hampshire and her medical specialization is dermatology with more than 17 years of experience. She graduated from University Of Puerto Rico School Of Medicine in 2005. The NPI number of Mayra Beauchamp Bruno is 1003015173 and was 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.

A dermatologist like Dr. Mayra Beauchamp Bruno M.d. 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 enrolled in PECOS and is eligible to order or refer healthcare 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

Mayra Beauchamp Bruno is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Novant Health Forsyth Medical Center.

NPI

1003015173

Provider NameDR. MAYRA BEAUCHAMP BRUNO M.D.
Provider Location Address253 PLEASANT ST CONCORD, NH 03301
Provider Mailing Address253 PLEASANT ST CONCORD, NH 03301
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date07-17-2007
Last Update Date10-25-2020


Primary Taxonomy

Taxonomy Code207N00000X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
License No.16259
License StateNH
Taxonomy DescriptionA 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.

Business Address

DR. MAYRA BEAUCHAMP BRUNO M.D.
253 PLEASANT ST
CONCORD, NH
ZIP 03301
Phone: (603) 226-2200

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Mailing Address

DR. MAYRA BEAUCHAMP BRUNO M.D.
253 PLEASANT ST
CONCORD, NH
ZIP 03301
Phone: (603) 226-2200



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID143404608
PECOS Enrollment IDI20160321002223
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 818Destruction of 2-14 skin growths (HCPCS:17003)
  • 244Destruction of skin growth (HCPCS:17000)
  • 114Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 73Destruction of up to 14 skin growths (HCPCS:17110)
  • 35Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 12Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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 CMS Certification Number (CCN) Overall Rating
NOVANT HEALTH FORSYTH MEDICAL CENTER3333 SILAS CREEK PARKWAY
WINSTON-SALEM, NC 27103
(336) 718-5000Acute Care Hospitals340014

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207N00000XAllopathic & Osteopathic PhysiciansDermatology17621PRNo

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.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

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

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1265413942 TESSA J LAFORTUNE-GREENBERG MD
Individual
Pediatrics253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6100
1710930706DR. ARURU RAVINDRA NATH MD
Individual
Family Medicine253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6108
1306870514 LORI SAVOY PA-C
Individual
Physician Assistant (Surgical)253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6122
1104842392DR. IOAN CRISTIAN BADAU M.D.
Individual
Internal Medicine253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6108
1952328999DR. JOAN CASSETTARI D.O.
Individual
Allergy & Immunology253 PLEASANT ST
CONCORD, NH 03301
(603) 228-4548
1891712857 JULIE BUELTE CNM
Individual
Advanced Practice Midwife253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6117
1972522456 JOHN ALBERT DIPASTINA DO
Individual
Family Medicine253 PLEASANT ST
CONCORD, NH 03301
(603) 226-2200
1306865977DR. THERESA MARIA OLIVEIRA M.D.
Individual
Pediatrics253 PLEASANT ST
CONCORD, NH 03301
(603) 226-2200
1801815311DR. ERIC A. SHULMAN M.D.
Individual
Pediatrics253 PLEASANT ST
CONCORD, NH 03301
(603) 226-2200
1154340677 KENNETH ADAMS III PA-C
Individual
Physician Assistant (Medical)253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6108
1467471136MRS. SUSAN MARY THIBODEAU BSN, MSN, ARNP
Individual
Nurse Practitioner (Pediatrics)253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6100
1922028802 CYNTHIA M. DE STEUBEN CNM
Individual
Nurse Practitioner (Family)253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6117
1821019852 NICOLE VARASTEH MD
Individual
Obstetrics & Gynecology253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6117
1336161652 STEPHEN MARK DELGIUDICE M.D.
Individual
Dermatology253 PLEASANT ST
CONCORD, NH 03301
(603) 226-2200
1295759934 CHRISTIAN HALLOWELL MD
Individual
Pediatrics253 PLEASANT ST
CONCORD, NH 03301
(603) 226-2200
1316953706DR. ANDREW LEX TAYLOR MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)253 PLEASANT ST
CONCORD, NH 03301
(603) 229-5230
1003822800MS. SANDRA ARLEIGH DINNING ARNP
Individual
Nurse Practitioner (Family)253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6108
1205843505 LISA ELAINE ATKINSON MD
Individual
Internal Medicine253 PLEASANT ST
CONCORD, NH 03301
(603) 226-2200
1942217369 PATRICIA BAKER KEGEL M.D.
Individual
Family Medicine253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6108
1003823865DR. NANCY JOAN VANVRANKEN MD
Individual
Pediatrics253 PLEASANT ST
CONCORD, NH 03301
(603) 226-6100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.