Dr Bryan Fletcher, DO is a medicare enrolled "General Practice" physician in Fort Irwin, California. His current practice location is
390 North Loop Road, Fort Irwin, California. You can reach out to his office (for appointments etc.) via phone at
(760) 380-9637.
Dr Bryan Fletcher is licensed to practice in Hawaii (license number 1837) 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 1164804605.
Physician's Profile
Full Name | Dr Bryan Fletcher |
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Gender | Male |
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Speciality | General Practice |
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Location | 390 North Loop Road, Fort Irwin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164804605
- Provider Enumeration Date: 06/21/2015
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 0042731945
- Enrollment ID: I20250307001941
Medical Identifiers
Medical identifiers for Dr Bryan Fletcher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164804605 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 1837 (Hawaii) | 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 Bryan Fletcher allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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 Bryan Fletcher 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 Bryan Fletcher, DO Weed Army Community Hospital - Attn: Mckx Bh, Attn: Mckx Bh P.o. Box 105109, Fort Irwin, CA 92310 Ph: () - | Dr Bryan Fletcher, DO 390 North Loop Road, Fort Irwin, CA 92310 Ph: (760) 380-9637 |
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