Dr Brenden Kootsey, MD is a medicare enrolled "Pediatrics" physician in Kilmarnock, Virginia. His current practice location is
86 Harris Rd, Kilmarnock, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 435-1152.
Dr Brenden Kootsey is licensed to practice in Virginia (license number 0101264322) 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 1487911095.
Physician's Profile
Full Name | Dr Brenden Kootsey |
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Gender | Male |
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Speciality | Pediatrics |
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Location | 86 Harris Rd, Kilmarnock, Virginia |
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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: 1487911095
- Provider Enumeration Date: 04/19/2012
- Last Update Date: 08/07/2018
Medicare PECOS Information:
- PECOS PAC ID: 0547579518
- Enrollment ID: I20190506000887
Medical Identifiers
Medical identifiers for Dr Brenden Kootsey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487911095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 52671 (Tennessee) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
208000000X | Pediatrics | 0101264322 (Virginia) | 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. Dr Brenden Kootsey allows following entities to bill medicare on his behalf.
Entity Name | Johnson Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1821212481 PECOS PAC ID: 9537060413 Enrollment ID: O20180308000764 |
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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. Dr Brenden Kootsey 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 |
Dr Brenden Kootsey, MD 86 Harris Rd, Kilmarnock, VA 22482-3845 Ph: (804) 435-1152 | Dr Brenden Kootsey, MD 86 Harris Rd, Kilmarnock, VA 22482 Ph: (804) 435-1152 |
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