Mr Brian Allen Pendleton, PA is a medicare enrolled "Physician Assistant" in Weatherfood, Texas. His current practice location is
713 E. Anderson Streeet, Weatherfood, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 341-2273.
Mr Brian Allen Pendleton is licensed to practice in Texas (license number PA03186) 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 1558485862.
Provider's Profile
| Full Name | Mr Brian Allen Pendleton |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 713 E. Anderson Streeet, Weatherfood, Texas |
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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: 1558485862
- Provider Enumeration Date: 03/19/2007
- Last Update Date: 11/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 0547218869
- Enrollment ID: I20100615000163
Medical Identifiers
Medical identifiers for Mr Brian Allen Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558485862 | NPI | - | NPPES |
| P01081371 | Other | TX | RAILROAD |
| 214537701 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA03186 (Texas) | Primary |
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 Brian Allen Pendleton 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 Brian Allen Pendleton, PA
12221 Merit Drive, Suite 1610,
Dallas, TX 75251-2204
Ph: (214) 217-1911 | Mr Brian Allen Pendleton, PA
713 E. Anderson Streeet,
Weatherfood, TX 76086-5705
Ph: (817) 341-2273 |
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