Dr Kurt Russell Bravata, MD is a medicare enrolled "General Practice" physician in Buffalo, Missouri. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Citizens Memorial Healthcare and his current practice location is
201 S Ash St, Buffalo, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 345-6100.
Dr Kurt Russell Bravata is licensed to practice in Missouri (license number 2013030074) 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 1790096170.
Physician's Profile
| Full Name | Dr Kurt Russell Bravata |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 14 Years |
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| Location | 201 S Ash St, Buffalo, Missouri |
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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 Kurt Russell Bravata graduated from medical school in 2010
NPI Data:
- NPI Number: 1790096170
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 12/29/2016
Medicare PECOS Information:
- PECOS PAC ID: 0547497034
- Enrollment ID: I20131206001257
Medical Identifiers
Medical identifiers for Dr Kurt Russell Bravata such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790096170 | NPI | - | NPPES |
| P01259379 | Other | MO | PALMETTO GBA RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 2013030074 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Citizens Memorial Healthcare | 4183528169 | 101 |
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 Kurt Russell Bravata allows following entities to bill medicare on his behalf.
| Entity Name | Citizens Memorial Healthcare |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374 |
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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 Kurt Russell Bravata 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 Kurt Russell Bravata, MD
1500 N Oakland Ave,
Bolivar, MO 65613-3011
Ph: (417) 328-6501 | Dr Kurt Russell Bravata, MD
201 S Ash St,
Buffalo, MO 65622-8674
Ph: (417) 345-6100 |
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