Mr Brandon Deshon Teeftaller, APN in Nashville, TN

Mr Brandon Deshon Teeftaller, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Nashville, Tennessee. His current practice location is 2200 21st Ave S, Suite 406, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 301-8681.

Mr Brandon Deshon Teeftaller is licensed to practice in Tennessee (license number APN7967) 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 1528011426.

Contact Information

	Mr Brandon Deshon Teeftaller, APN
	2200 21st Ave S, Suite 406, Nashville, TN 37212-4942
	(615) 301-8681
	(615) 301-1603

Map and Direction

Provider's Profile

Full Name	Mr Brandon Deshon Teeftaller
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2200 21st Ave S, Nashville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528011426
Provider Enumeration Date: 05/19/2006
Last Update Date: 08/15/2012

Medicare PECOS Information:

PECOS PAC ID: 7012908718
Enrollment ID: I20040611001234

Medical Identifiers

Medical identifiers for Mr Brandon Deshon Teeftaller such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528011426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	APN7967 (Tennessee)	Primary
363LF0000X	Nurse Practitioner - Family	7967 (Tennessee)	Secondary

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. Mr Brandon Deshon Teeftaller allows following entities to bill medicare on his behalf.

Entity Name	Southeastern Emergency Services P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669414264 PECOS PAC ID: 6204730195 Enrollment ID: O20031121000687

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 Deshon Teeftaller 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 Deshon Teeftaller, APN 2200 21st Ave S, Suite 406, Nashville, TN 37212-4942 Ph: (615) 301-8681	Mr Brandon Deshon Teeftaller, APN 2200 21st Ave S, Suite 406, Nashville, TN 37212-4942 Ph: (615) 301-8681

Reviews and Comments

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Mr Brandon Deshon Teeftaller, APN - Medicare Nurse Practitioner in Nashville, TN