Terry Keith Brantley, MD in Jackson, MS - Medicare Emergency Medicine

Terry Keith Brantley, MD is a medicare enrolled "Emergency Medicine" physician in Jackson, Mississippi. His current practice location is 1850 Chadwick Dr, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (904) 805-1300.

Terry Keith Brantley is licensed to practice in Mississippi (license number 05961) 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 1053355040.

Contact Information

	Terry Keith Brantley, MD
	1850 Chadwick Dr, Jackson, MS 39204-3404
	(904) 805-1300
	(904) 805-1302

Map and Direction

Physician's Profile

Full Name	Terry Keith Brantley
Gender	Male
Speciality	Emergency Medicine
Location	1850 Chadwick Dr, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053355040
Provider Enumeration Date: 06/16/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0345143582
Enrollment ID: I20040127000938

Medical Identifiers

Medical identifiers for Terry Keith Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053355040	NPI	-	NPPES
P00205130	Other	MS	RAILROAD MEDICARE
00014917	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	05961 (Mississippi)	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. Terry Keith Brantley allows following entities to bill medicare on his behalf.

Entity Name	Dinesh K Goel
Entity Type	Practitioner - Family Practice
Entity Identifiers	NPI Number: 1023115334 PECOS PAC ID: 6507046877 Enrollment ID: I20110204000045

Entity Name	Mississippi Emergency Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710220678 PECOS PAC ID: 2264672492 Enrollment ID: O20130710000827

Entity Name	App Of Mississippi Ed Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730687740 PECOS PAC ID: 3971865858 Enrollment ID: O20180313002534

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. Terry Keith Brantley 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
Terry Keith Brantley, MD 200 Corporate Blvd, Ste 201, Lafayette, LA 70508-3870 Ph: () -	Terry Keith Brantley, MD 1850 Chadwick Dr, Jackson, MS 39204-3404 Ph: (904) 805-1300

Reviews and Comments

Emergency Medicine Doctors in Jackson, MS

Laura Elizabeth Vearrier, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-2005
Dr. Melanie Fox, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mohsin Saber, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 N State St, Department Of Emergency Medicine, Jackson, MS 39201 Phone: 601-984-5582 Fax: 601-984-5583
Dr. Gabriel William Tonkin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N. State St., Dept. Of Emergency Medicine, Jackson, MS 39216 Phone: 601-984-5582
John C Brooks, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-982-6001 Fax: 601-982-8616
Bob Hutchins, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3502 W Northside Dr, Jackson, MS 39213 Phone: 601-362-5321 Fax: 601-364-2600
Lana Ngoc Phan, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000

Terry Keith Brantley, MD - Medicare Emergency Medicine in Jackson, MS