Brent Tyler Tate, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Offutt Afb, Nebraska. His current practice location is
2501 Capehart Rd, Offutt Afb, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 294-2056.
Brent Tyler Tate is licensed to practice in Nebraska (license number 9586) 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 1992497242.
Physician's Profile
Full Name | Brent Tyler Tate |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2501 Capehart Rd, Offutt Afb, Nebraska |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1992497242
- Provider Enumeration Date: 05/24/2023
- Last Update Date: 06/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 3678936614
- Enrollment ID: I20230824000403
Medical Identifiers
Medical identifiers for Brent Tyler Tate such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992497242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 9586 (Nebraska) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 9586 (Nebraska) | Primary |
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. Brent Tyler Tate 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 |
Brent Tyler Tate, DO 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-2056 | Brent Tyler Tate, DO 2501 Capehart Rd, Offutt Afb, NE 68113-1043 Ph: (402) 294-2056 |
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