Dr Brett Deatherage, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Kyle, Texas. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Seton Family Of Doctors and 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 | Diagnostic Radiology |
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| Experience | 8 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. |
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Medical Education and Training:
- Dr Brett Deatherage graduated from medical school in 2016
NPI Data:
- NPI Number: 1669821070
- Provider Enumeration Date: 06/07/2016
- Last Update Date: 06/29/2022
Medicare PECOS Information:
- PECOS PAC ID: 2567743628
- Enrollment ID: I20220706001367
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 |
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| 2085R0202X | Radiology - Diagnostic Radiology | T50988 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Seton Family Of Doctors | 0941333280 | 666 |
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 Brett Deatherage allows following entities to bill medicare on his behalf.
| Entity Name | Seton Family Of Doctors |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588997233
PECOS PAC ID: 0941333280
Enrollment ID: O20100806000260 |
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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 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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