Brent D Bevard, DO is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Hattiesburg, Mississippi. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1996 and has 30 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Hattiesburg Clinic Pa and his current practice location is
1 Lincoln Pkwy Ste 300, Hattiesburg, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 261-1600.
Brent D Bevard is licensed to practice in Mississippi (license number 18004) 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 1669486692.
Physician's Profile
| Full Name | Brent D Bevard |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 30 Years |
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| Location | 1 Lincoln Pkwy Ste 300, Hattiesburg, Mississippi |
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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. |
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Medical Education and Training:
- Brent D Bevard attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1996
NPI Data:
- NPI Number: 1669486692
- Provider Enumeration Date: 07/27/2006
- Last Update Date: 03/25/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163509811
- Enrollment ID: I20150504001330
Medical Identifiers
Medical identifiers for Brent D Bevard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669486692 | NPI | - | NPPES |
| 03184271 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | A-1167-01 (New Mexico) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 18004 (Mississippi) | Secondary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 18004 (Mississippi) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Hattiesburg Clinic Pa | 5193706794 | 492 |
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. Brent D Bevard allows following entities to bill medicare on his behalf.
| Entity Name | Hattiesburg Clinic Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685 |
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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. Brent D Bevard 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 |
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Brent D Bevard, DO
415 S 28th Ave,
Hattiesburg, MS 39401-7246
Ph: (601) 261-1600 | Brent D Bevard, DO
1 Lincoln Pkwy Ste 300,
Hattiesburg, MS 39402-3261
Ph: (601) 261-1600 |
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