Individual ProviderBrett BurnsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1234 E Dupont Rd Ste 1, Fort Wayne, IN 46825-1545(260) 266-6060PECOS EnrollmentBased on the most recent information from CMS, provider Brett Burns is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:02 AM.Profile DetailsProvider ID1194346072Provider TypeIndividualFull NameBurns, BrettGenderMaleSole ProprietorNoEnumeration Date5/1/2020Last Updated10/14/2022Contact InformationPractice LocationPractice Address1234 E Dupont Rd Ste 1, Fort Wayne, IN 46825-1545Phone(260) 266-6060Fax(260) 425-6395Mailing LocationMailing Address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense71010135AIndianaCode163W00000XDescriptionRegistered NurseNursing Service ProvidersLicense28225951AIndiana