Dr Kent Thomas Braeutigam, DO is a medicare enrolled "General Practice" physician in Middleburg, Florida. His current practice location is
3839 County Road 218, Middleburg, Florida. You can reach out to his office (for appointments etc.) via phone at
(904) 282-5474.
Dr Kent Thomas Braeutigam is licensed to practice in Florida (license number OS5110) 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 1063437861.
Physician's Profile
| Full Name | Dr Kent Thomas Braeutigam |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 3839 County Road 218, Middleburg, Florida |
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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 Kent Thomas Braeutigam attended and graduated from in
NPI Data:
- NPI Number: 1063437861
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 09/15/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Kent Thomas Braeutigam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063437861 | NPI | - | NPPES |
| 046178400 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | OS5110 (Florida) | Secondary |
| 208D00000X | General Practice | OS5110 (Florida) | 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 Kent Thomas Braeutigam 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 Kent Thomas Braeutigam, DO
705 Wells Rd Ste 300,
Orange Park, FL 32073-2982
Ph: (904) 282-6331 | Dr Kent Thomas Braeutigam, DO
3839 County Road 218,
Middleburg, FL 32068-5708
Ph: (904) 282-5474 |
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