David Lawrence Brabon, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Mount Vernon, Kentucky. His current practice location is
140 Newcomb Ave, Mount Vernon, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 256-4148.
David Lawrence Brabon is licensed to practice in Kentucky (license number 17410) 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 1235280579.
Physician's Profile
| Full Name | David Lawrence Brabon |
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| Gender | Male |
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| Speciality | Surgery - Plastic And Reconstructive Surgery |
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| Location | 140 Newcomb Ave, Mount Vernon, Kentucky |
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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: 1235280579
- Provider Enumeration Date: 01/15/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2961530969
- Enrollment ID: I20100512000843
Medical Identifiers
Medical identifiers for David Lawrence Brabon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235280579 | NPI | - | NPPES |
| 88178 | Other | | CHA |
| 000000039562 | Other | | ANTHEM BC BS |
| 64174105 | Medicaid | KY | |
| 17410 | Other | KY | MEDICAL LICENSE |
| 240007115 | Other | KY | RAIL ROAD MEDICARE |
| 1300124 | Other | KY | DEPT OF LABOR |
| 61-1350713 | Other | | TAX ID |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 17410 (Kentucky) | 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. David Lawrence Brabon allows following entities to bill medicare on his behalf.
| Entity Name | Rockcastle County Hospital, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1104890714
PECOS PAC ID: 6103727433
Enrollment ID: O20040119000523 |
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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. David Lawrence Brabon 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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David Lawrence Brabon, MD
Po Box 869,
Mount Vernon, KY 40456-0869
Ph: (606) 256-4148 | David Lawrence Brabon, MD
140 Newcomb Ave,
Mount Vernon, KY 40456-2728
Ph: (606) 256-4148 |
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