Dr Damon W Brantley, MD is a medicare enrolled "Surgery" physician in St. Marys, Georgia. He went to University Of Maryland School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Cooperative Healthcare Services, Inc. and his current practice location is
2040 Dan Proctor Drive, Suite 240, St. Marys, Georgia. You can reach out to his office (for appointments etc.) via phone at
(912) 576-6340.
Dr Damon W Brantley is licensed to practice in Georgia (license number 064337) 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 1902868011.
Physician's Profile
| Full Name | Dr Damon W Brantley |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 32 Years |
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| Location | 2040 Dan Proctor Drive, St. Marys, Georgia |
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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 Damon W Brantley attended and graduated from University Of Maryland School Of Medicine in 1992
NPI Data:
- NPI Number: 1902868011
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 09/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193779924
- Enrollment ID: I20101115000090
Medical Identifiers
Medical identifiers for Dr Damon W Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902868011 | NPI | - | NPPES |
| 003101326B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 064337 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cooperative Healthcare Services, Inc. | 9830093640 | 175 |
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 Damon W Brantley allows following entities to bill medicare on his behalf.
| Entity Name | Cooperative Healthcare Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417979402
PECOS PAC ID: 9830093640
Enrollment ID: O20031124000222 |
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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 Damon W Brantley 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 |
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Dr Damon W Brantley, MD
2040 Dan Proctor Drive, Suite 240,
St. Marys, GA 31558-3801
Ph: (912) 576-6340 | Dr Damon W Brantley, MD
2040 Dan Proctor Drive, Suite 240,
St. Marys, GA 31558-3801
Ph: (912) 576-6340 |
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