Mr Brandon Tibbitts, PA-C is a medicare enrolled "Physician Assistant" physician in Wethersfield, Connecticut. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hartford Healthcare Urgent Care Centers Llc, Demos Dermatology Llc and his current practice location is
1290 Silas Deane Hwy, Wethersfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 777-1280.
Mr Brandon Tibbitts is licensed to practice in Connecticut (license number 003752) 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 1205276474.
Physician's Profile
| Full Name | Mr Brandon Tibbitts |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 11 Years |
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| Location | 1290 Silas Deane Hwy, Wethersfield, Connecticut |
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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:
- Mr Brandon Tibbitts graduated from medical school in 2013
NPI Data:
- NPI Number: 1205276474
- Provider Enumeration Date: 07/02/2013
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901031855
- Enrollment ID: I20170113002067
Medical Identifiers
Medical identifiers for Mr Brandon Tibbitts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205276474 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 003752 (Connecticut) | Secondary |
| 363A00000X | Physician Assistant | 003752 (Connecticut) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hartford Healthcare Urgent Care Centers Llc | 7618242777 | 161 |
| Demos Dermatology Llc | 5890169882 | 6 |
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. Mr Brandon Tibbitts 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 |
|---|
Mr Brandon Tibbitts, PA-C
113 Elm St Ste 304,
Enfield, CT 06082-3739
Ph: (860) 741-2225 | Mr Brandon Tibbitts, PA-C
1290 Silas Deane Hwy,
Wethersfield, CT 06109-4337
Ph: (860) 777-1280 |
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