Dr Kenyatta D Brantley, OD in Newnan, GA - Medicare Optometrist Provider

Dr Kenyatta D Brantley, OD is a medicare enrolled "Optometrist - Corneal And Contact Management" provider in Newnan, Georgia. His current practice location is 37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at (229) 800-4712.

Dr Kenyatta D Brantley is licensed to practice in Georgia (license number OPT003563) 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 1205907565.

Contact Information

	Dr Kenyatta D Brantley, OD
	37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, GA 30263
	(229) 800-4712
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenyatta D Brantley
Gender	Male
Speciality	Optometrist - Corneal And Contact Management
Location	37 Calumet Parkway Bldg G Suite 101, Newnan, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205907565
Provider Enumeration Date: 11/10/2006
Last Update Date: 01/31/2025

Medicare PECOS Information:

PECOS PAC ID: 9436146883
Enrollment ID: I20240604004127

Medical Identifiers

Medical identifiers for Dr Kenyatta D Brantley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205907565	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152WC0802X	Optometrist - Corneal And Contact Management	OPT003563 (Georgia)	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. Dr Kenyatta D Brantley allows following entities to bill medicare on his behalf.

Provider Name	Thomas Eye Group Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1548271992 PECOS PAC ID: 2567455868 Enrollment ID: O20040405000273

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. Dr Kenyatta D 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
Dr Kenyatta D Brantley, OD 37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, GA 30263 Ph: (229) 800-4712	Dr Kenyatta D Brantley, OD 37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, GA 30263 Ph: (229) 800-4712

Reviews and Comments

Optometrist in Newnan, GA

The Atlanta Cornea Care Center - Dr. Kenyatta Brantley, Optometrist (p Optometrist Medicare: Not Enrolled in Medicare Practice Location: 37 Calumet Parkway Bldg G Suite 101, Attention: Dr. Ken Brantley, Newnan, GA 30263 Phone: 229-800-4712
Amber Carissa Flynn, Optometrist Medicare: Medicare Enrolled Practice Location: 2700 Ga-34, Bldg 300, Newnan, GA 30265 Phone: 678-423-7700
Optometrist Medicare: Medicare Enrolled Practice Location: 185 Glenda Trce Ste A, Newnan, GA 30265 Phone: 770-252-1999 Fax: 770-502-1071
Coweta Eye Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Ruth Dr, Suite C, Newnan, GA 30265 Phone: 770-683-2733
Dr. Amy Rebecca Jeffries, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3150 Highway 34 E Ste 306, Newnan, GA 30265 Phone: 770-252-1999
Dr. Adriana Escobar, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 324 Newnan Crossing Byp, Newnan, GA 30265 Phone: 678-423-3927

Dr Kenyatta D Brantley, OD - Medicare Optometrist in Newnan, GA