Dr Brett Deatherage, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kyle, Texas. His current practice location is
5103 Kyle Center Dr Ste 108, Kyle, Texas. You can reach out to his office (for appointments etc.) via phone at
(877) 324-3310.
Dr Brett Deatherage is licensed to practice in Texas (license number T50988) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669821070.
Physician's Profile
Full Name | Dr Brett Deatherage |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 5103 Kyle Center Dr Ste 108, Kyle, Texas |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Brett Deatherage attended and graduated from in
NPI Data:
- NPI Number: 1669821070
- Provider Enumeration Date: 06/07/2016
- Last Update Date: 06/29/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Brett Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669821070 | NPI | - | NPPES |
10057590 | Other | TX | PHYSICIANS-IN-TRAINING PERMIT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0202X | Radiology - Diagnostic Radiology | T50988 (Texas) | 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. Dr Brett Deatherage 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 Brett Deatherage, MD 5103 Kyle Center Dr Ste 108, Kyle, TX 78640-6164 Ph: (877) 324-3310 | Dr Brett Deatherage, MD 5103 Kyle Center Dr Ste 108, Kyle, TX 78640-6164 Ph: (877) 324-3310 |
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