Dr Elisa K Brantly, MD is a medicare enrolled "Urology" physician in Stanton, Texas. She went to University Of Texas Medical School At San Antonio and graduated in 2011 and has 13 years of diverse experience with area of expertise as Urology. She is a member of the group practice Martin County Hospital District and her current practice location is
600 East Interstate 20, Stanton, Texas. You can reach out to her office (for appointments etc.) via phone at
(432) 607-3644.
Dr Elisa K Brantly is licensed to practice in Texas (license number N9435) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619157427.
Physician's Profile
| Full Name | Dr Elisa K Brantly |
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| Gender | Female |
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| Speciality | Urology |
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| Experience | 13 Years |
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| Location | 600 East Interstate 20, Stanton, Texas |
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| Accepts Medicare Assignments | Yes. She 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 Elisa K Brantly attended and graduated from University Of Texas Medical School At San Antonio in 2011
NPI Data:
- NPI Number: 1619157427
- Provider Enumeration Date: 11/08/2007
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 9931377751
- Enrollment ID: I20110722000101
Medical Identifiers
Medical identifiers for Dr Elisa K Brantly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619157427 | NPI | - | NPPES |
| 8CU434 | Other | TX | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | N9435 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Martin County Hospital District | 8527958552 | 14 |
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 Elisa K Brantly allows following entities to bill medicare on her behalf.
| Entity Name | Martin County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679560866
PECOS PAC ID: 8527958552
Enrollment ID: O20040805001106 |
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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 Elisa K Brantly 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 Elisa K Brantly, MD
Po Box 640,
Stanton, TX 79782-0640
Ph: (432) 607-3225 | Dr Elisa K Brantly, MD
600 East Interstate 20,
Stanton, TX 79782-0640
Ph: (432) 607-3644 |
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