Mr Christopher Scott Brackman, PA-C is a
Physician Assistant based in Kenova, West Virginia. Mr Christopher Scott Brackman is licensed to practice in North Carolina (license number 010-01314) and his current practice location is
2194 Booth Rd, Kenova, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 453-6351.
NPI number for Mr Christopher Scott Brackman is 1215173679 and his current mailing address is 2194 Booth Rd, Kenova, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215173679.
Provider's Profile
Full Name | Mr Christopher Scott Brackman |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2194 Booth Rd, Kenova, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215173679
- Provider Enumeration Date: 01/06/2009
- Last Update Date: 08/03/2012
Medical Identifiers
Medical identifiers for Mr Christopher Scott Brackman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215173679 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 010-01314 (North Carolina) | 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 Christopher Scott Brackman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Christopher Scott Brackman, PA-C 2194 Booth Rd, Kenova, WV 25530-9544 Ph: (304) 453-1635 | Mr Christopher Scott Brackman, PA-C 2194 Booth Rd, Kenova, WV 25530-9544 Ph: (304) 453-6351 |
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