Brycen Witcher, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Granbury, Texas. His current practice location is
1308 Paluxy Rd Ste E, Granbury, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 573-2273.
Brycen Witcher is licensed to practice in Texas (license number V6425) 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 1356924476.
Physician's Profile
| Full Name | Brycen Witcher |
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| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1308 Paluxy Rd Ste E, Granbury, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356924476
- Provider Enumeration Date: 05/05/2021
- Last Update Date: 05/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860932225
- Enrollment ID: I20240911004671
Medical Identifiers
Medical identifiers for Brycen Witcher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356924476 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 31788 (Mississippi) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (Mississippi) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | V6425 (Texas) | Primary |
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. Brycen Witcher 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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Brycen Witcher, MD
3860 Hawthorne Dr,
Jackson, MS 39206-5827
Ph: () - | Brycen Witcher, MD
1308 Paluxy Rd Ste E,
Granbury, TX 76048-5689
Ph: (817) 573-2273 |
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