Thomas Ross Braswell, MD is a medicare enrolled "Family Medicine" physician in Scott, Arkansas. His current practice location is
15033 Highway 165, Scott, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(501) 552-7999.
Thomas Ross Braswell is licensed to practice in Arkansas (license number C-5370) 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 1164448858.
Physician's Profile
| Full Name | Thomas Ross Braswell |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 15033 Highway 165, Scott, Arkansas |
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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: 1164448858
- Provider Enumeration Date: 07/14/2006
- Last Update Date: 07/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 7517969199
- Enrollment ID: I20070212000076
Medical Identifiers
Medical identifiers for Thomas Ross Braswell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164448858 | NPI | - | NPPES |
| 102981001 | Medicaid | AR | |
| 12321000000 | Other | AR | QC |
| 428494 | Other | AR | HEALTHLINK |
| 5397026 | Other | AR | AETNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | C-5370 (Arkansas) | 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. Thomas Ross Braswell allows following entities to bill medicare on his behalf.
| Entity Name | St Vincent Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134176480
PECOS PAC ID: 5698758803
Enrollment ID: O20040622000224 |
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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. Thomas Ross Braswell 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 |
|---|
Thomas Ross Braswell, MD
2 Saint Vincent Cir,
Little Rock, AR 72205-5423
Ph: (501) 552-7999 | Thomas Ross Braswell, MD
15033 Highway 165,
Scott, AR 72142-9555
Ph: (501) 552-7999 |
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