Brandon Shutty, DO in Spokane, WA - Medicare Dermatology

Brandon Shutty, DO is a medicare enrolled "Dermatology" physician in Spokane, Washington. His current practice location is 510 S Cowley St, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 252-1299.

Brandon Shutty is licensed to practice in Washington (license number OP61408379) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1598020059.

Contact Information

	Brandon Shutty, DO
	510 S Cowley St, Spokane, WA 99202-1332
	(509) 252-1299
	Not Available

Map and Direction

Physician's Profile

Full Name	Brandon Shutty
Gender	Male
Speciality	Dermatology
Location	510 S Cowley St, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598020059
Provider Enumeration Date: 07/11/2012
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 0941594915
Enrollment ID: I20170731001180

Medical Identifiers

Medical identifiers for Brandon Shutty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598020059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	OS13979 (Florida)	Secondary
207N00000X	Dermatology	OP61408379 (Washington)	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. Brandon Shutty allows following entities to bill medicare on his behalf.

Entity Name	Premier Dermatology, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700202298 PECOS PAC ID: 6002031531 Enrollment ID: O20140625001928

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. Brandon Shutty 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
Brandon Shutty, DO 4197 Woodlands Pkwy, Palm Harbor, FL 34685-3493 Ph: (727) 786-3810	Brandon Shutty, DO 510 S Cowley St, Spokane, WA 99202-1332 Ph: (509) 252-1299

Reviews and Comments

Dermatology Doctors in Spokane, WA

William Philip Werschler, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 W 5th Ave, 330w, Spokane, WA 99204 Phone: 509-624-1184 Fax: 509-625-1449
Ryan Char Kelm, Dermatology Medicare: Medicare Enrolled Practice Location: 510 S Cowley St, Spokane, WA 99202 Phone: 509-252-1299
Daniel Bowen Baird, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 757 E Holland Ave, Spokane, WA 99218 Phone: 509-444-6367 Fax: 509-444-6371
Dr. Michael E Ryan, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 5901 N Lidgerwood St, Ste 118, Spokane, WA 99208 Phone: 509-483-2828 Fax: 509-484-7882
James Keith Parker, MD Dermatology Medicare: Medicare Enrolled Practice Location: 5905 N Mayfair St Ste 200, Spokane, WA 99208 Phone: 509-456-7414 Fax: 800-247-9519
Myron Zhang, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 400 E 5th Ave Ste 4, Spokane, WA 99202 Phone: 509-342-3945 Fax: 509-755-6580
Benjamin Hsu, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 757 E Holland Ave, Northwest Dermatology, Spokane, WA 99218 Phone: 509-444-6367 Fax: 509-444-6371

Brandon Shutty, DO - Medicare Dermatology in Spokane, WA