Broderick A Brass, DPT in Las Vegas, NV - Medicare Physical Therapist Provider

Broderick A Brass, DPT is a medicare enrolled "Physical Therapist" provider in Las Vegas, Nevada. His current practice location is 6440 Medical Center St Ste 100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 222-1000.

Broderick A Brass is licensed to practice in Nevada (license number 3777) 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 1538649025.

Contact Information

	Broderick A Brass, DPT
	6440 Medical Center St Ste 100, Las Vegas, NV 89148-2404
	(702) 222-1000
	(702) 222-9448

Map and Direction

Healthcare Provider's Profile

Full Name	Broderick A Brass
Gender	Male
Speciality	Physical Therapist
Location	6440 Medical Center St Ste 100, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538649025
Provider Enumeration Date: 08/15/2018
Last Update Date: 08/15/2018

Medicare PECOS Information:

PECOS PAC ID: 6002160405
Enrollment ID: I20181126000216

Medical Identifiers

Medical identifiers for Broderick A Brass such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538649025	NPI	-	NPPES
3777	Other	NV	NV STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	3777 (Nevada)	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. Broderick A Brass allows following entities to bill medicare on his behalf.

Provider Name	Executive Fitness Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1881710192 PECOS PAC ID: 9638158884 Enrollment ID: O20040720000501

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. Broderick A Brass 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
Broderick A Brass, DPT 6440 Medical Center St Ste 100, Las Vegas, NV 89148-2404 Ph: (702) 222-1000	Broderick A Brass, DPT 6440 Medical Center St Ste 100, Las Vegas, NV 89148-2404 Ph: (702) 222-1000

Reviews and Comments

Physical Therapist in Las Vegas, NV

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Broderick A Brass, DPT - Medicare Physical Therapist in Las Vegas, NV