Dr Theodore George Brna Jr, MD is a medicare enrolled "Family Medicine" physician in Bailey, North Carolina. His current practice location is
6321 Deans St, Bailey, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 235-4181.
Dr Theodore George Brna Jr is licensed to practice in North Carolina (license number 38590) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477547016.
Physician's Profile
| Full Name | Dr Theodore George Brna Jr |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 6321 Deans St, Bailey, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477547016
- Provider Enumeration Date: 09/09/2005
- Last Update Date: 05/08/2008
Medicare PECOS Information:
- PECOS PAC ID: 8325086952
- Enrollment ID: I20050426000611
Medical Identifiers
Medical identifiers for Dr Theodore George Brna Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477547016 | NPI | - | NPPES |
| 0159H | Other | NC | BLUE CROSS BLUE SHEILD OF NC |
| 7918535 | Medicaid | NC | |
| 080032784 | Other | NC | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 38590 (North Carolina) | Primary |
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 Theodore George Brna Jr allows following entities to bill medicare on his behalf.
| Entity Name | Bailey Family Practice Center Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528037959
PECOS PAC ID: 9436197068
Enrollment ID: O20050422000785 |
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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 Theodore George Brna Jr 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 Theodore George Brna Jr, MD
6321 Deans St, P. O. Box 280,
Bailey, NC 27807-8641
Ph: (252) 235-4181 | Dr Theodore George Brna Jr, MD
6321 Deans St,
Bailey, NC 27807-8641
Ph: (252) 235-4181 |
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