Dr Kenyatta D Brantley, OD in Peachtree City, GA

Dr Kenyatta D Brantley, OD is a medicare enrolled "Optometrist" provider in Peachtree City, Georgia. His current practice location is 120 Peachtree East Shopping Ctr, Peachtree City, Georgia. You can reach out to his office (for appointments etc.) via phone at (404) 705-5755.

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
	120 Peachtree East Shopping Ctr, Peachtree City, GA 30269-4045
	(404) 705-5755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenyatta D Brantley
Gender	Male
Speciality	Optometrist
Location	120 Peachtree East Shopping Ctr, Peachtree City, 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: 07/29/2024

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	R-214 (Alabama)	Secondary
152W00000X	Optometrist	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 120 Peachtree East Shopping Ctr, Peachtree City, GA 30269-4045 Ph: (404) 705-5755	Dr Kenyatta D Brantley, OD 120 Peachtree East Shopping Ctr, Peachtree City, GA 30269-4045 Ph: (404) 705-5755

Reviews and Comments

Optometrist in Peachtree City, GA

Eyexam Of Peachtree City Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 City Cir Ste 1600, Peachtree City, GA 30269 Phone: 770-487-8013
Spectrum Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 361 Highway 74 N, Peachtree City, GA 30269 Phone: 770-487-0667
Richard C Lipovac Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2717 Highway 54, Peachtree City, GA 30269 Phone: 770-632-6422 Fax: 770-632-6413
Dr. David Arlington Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301b Petrol Pt, Peachtree City, GA 30269 Phone: 770-487-2020 Fax: 770-487-2720
Eyexam Of Peachtree City Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 City Cir, Suite 1600, Peachtree City, GA 30269 Phone: 770-487-8013 Fax: 770-487-8365
Dr. Amy Lambert, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 Petrol Pt, Peachtree City, GA 30269 Phone: 770-487-2020
Dr. Kimberly Sue Anderson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 361 Highway 74 N, Peachtree City, GA 30269 Phone: 770-487-0667

Dr Kenyatta D Brantley, OD - Medicare Optometrist in Peachtree City, GA