| Brandon Shutty, DO | |
|
1111 12th St Ste 112, Key West, FL 33040-4087 | |
| (305) 363-4950 | |
| (305) 363-4951 |
| Full Name | Brandon Shutty |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 14 Years |
| Location | 1111 12th St Ste 112, Key West, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598020059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | OS13979 (Florida) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | OS13979 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Skin And Cancer Associates | 1759284847 | 69 |
| Dermatology Associates Of The Palm Beaches Pllc | 6709861602 | 12 |
| Entity Name | Skin And Cancer Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427017292 PECOS PAC ID: 1759284847 Enrollment ID: O20040128000060 |
| Entity Name | Dermatology Associates Of The Palm Beaches Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649260308 PECOS PAC ID: 6709861602 Enrollment ID: O20040623001356 |
| Entity Name | Premier Dermatology, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700202298 PECOS PAC ID: 6002031531 Enrollment ID: O20140625001928 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Shutty, DO 7421 N University Dr Ste 307, Tamarac, FL 33321-6102 Ph: (954) 720-7272 | Brandon Shutty, DO 1111 12th St Ste 112, Key West, FL 33040-4087 Ph: (305) 363-4950 |
Michael E Berman, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1411 White Street, Key West, FL 33040 Phone: 305-294-5400 Fax: 305-294-5415 | |
Dr. Darel Dean Pruett, DO Dermatology Medicare: Medicare Enrolled Practice Location: 1010 Kennedy Dr, Suite 304, Key West, FL 33040 Phone: 305-296-3334 Fax: 305-664-9777 |