Abigail Leigh Brantley, in Tyler, TX - Medicare Dietitian, Registered Provider

Abigail Leigh Brantley, is a medicare enrolled "Dietitian, Registered" provider in Tyler, Texas. Her current practice location is 706 Turtle Creek Dr, Tyler, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 595-3942.

Abigail Leigh Brantley is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407527484.

Contact Information

	Abigail Leigh Brantley,
	706 Turtle Creek Dr, Tyler, TX 75701-1833
	(903) 595-3942
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Abigail Leigh Brantley
Gender	Female
Speciality	Dietitian, Registered
Location	706 Turtle Creek Dr, Tyler, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407527484
Provider Enumeration Date: 09/21/2021
Last Update Date: 09/21/2021

Medicare PECOS Information:

PECOS PAC ID: 8921485988
Enrollment ID: I20220512000431

Medical Identifiers

Medical identifiers for Abigail Leigh Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407527484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133VN1004X	Dietitian, Registered - Nutrition, Pediatric	(* (Not Available))	Secondary
133V00000X	Dietitian, Registered	(* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Abigail Leigh Brantley allows following entities to bill medicare on her behalf.

Provider Name	Christus Trinity Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Abigail Leigh Brantley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Abigail Leigh Brantley, 401 Vz County Road 2518, Canton, TX 75103-3872 Ph: (903) 330-3970	Abigail Leigh Brantley, 706 Turtle Creek Dr, Tyler, TX 75701-1833 Ph: (903) 595-3942

Reviews and Comments

Dietitian, Registered in Tyler, TX

Clarice Michelle Mcdaniels, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 428 Centennial Pkwy, Tyler, TX 75703 Phone: 903-266-5900
Neily Louise Wheeler, LICENSED DIETICIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 910 E Houston St Ste 550, Tyler, TX 75702 Phone: 903-592-7393 Fax: 903-597-7538
Mrs. Lauren Clark, MS, RD, LD, CNSC Dietitian Medicare: Medicare Enrolled Practice Location: 910 E Houston St Ste 320, Tyler, TX 75702 Phone: 903-606-4300 Fax: 903-606-1283
Miss Sara Hanson, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1358 E Richards St, Tyler, TX 75702 Phone: 903-531-9455
Jill Coble, RD/LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777
Callie Tatman, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 11937 Us Highway 271, Tyler, TX 75708 Phone: 903-877-7777
Sara Upson, M.ED, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Independence Pl Ste 201, Tyler, TX 75703 Phone: 903-312-8906

Abigail Leigh Brantley, - Medicare Dietitian in Tyler, TX