Dr Brady L Luttrell, MD is a medicare enrolled "Family Medicine" physician in Brookline, Missouri. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2004 and has 20 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Mercy Clinic Springfield Communities, Mercy Hospital Springfield and his current practice location is
3203 E Old Stone Ave, Brookline, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 269-1910.
Dr Brady L Luttrell is licensed to practice in Missouri (license number 2021047213) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790814481.
Physician's Profile
Full Name | Dr Brady L Luttrell |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 20 Years |
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Location | 3203 E Old Stone Ave, Brookline, Missouri |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Brady L Luttrell attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2004
NPI Data:
- NPI Number: 1790814481
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 04/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880784909
- Enrollment ID: I20220211000283
Medical Identifiers
Medical identifiers for Dr Brady L Luttrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790814481 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 2021047213 (Missouri) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mercy Clinic Springfield Communities | 7416865845 | 922 |
Mercy Hospital Springfield | 7416867593 | 103 |
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 Brady L Luttrell allows following entities to bill medicare on his behalf.
Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245277631 PECOS PAC ID: 7416865845 Enrollment ID: O20031104000060 |
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Entity Name | Mercy Clinic Springfield Communities |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972771657 PECOS PAC ID: 7416865845 Enrollment ID: O20031218000354 |
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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 Brady L Luttrell 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 Brady L Luttrell, MD Po Box 505673, Saint Louis, MO 63150-5673 Ph: (417) 730-6430 | Dr Brady L Luttrell, MD 3203 E Old Stone Ave, Brookline, MO 65619-9620 Ph: (417) 269-1910 |
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