Dr Brandon Richard Lewis Deatherage, DO - Medicare Psychiatry & Neurology in Tucson, AZ

Dr Brandon Richard Lewis Deatherage, DO is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Tucson, Arizona. His current practice location is 1625 N Campbell Ave, Tucson, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 694-0111.

Dr Brandon Richard Lewis Deatherage is licensed to practice in Arizona (license number R4027) 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 1730877853.

Contact Information

Dr Brandon Richard Lewis Deatherage, DO
1625 N Campbell Ave,
Tucson, AZ 85719-4330
(520) 694-0111
Not Available

Map and Direction




Physician's Profile

Full NameDr Brandon Richard Lewis Deatherage
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location1625 N Campbell Ave, Tucson, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730877853
  • Provider Enumeration Date: 04/26/2023
  • Last Update Date: 04/26/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2860850559
  • Enrollment ID: I20230628002229

Medical Identifiers

Medical identifiers for Dr Brandon Richard Lewis Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730877853NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology R4027 (Arizona)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. Dr Brandon Richard Lewis Deatherage 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 AddressPractice Location Address
Dr Brandon Richard Lewis Deatherage, DO
1501 N Campbell Ave Rm 6207,
Tucson, AZ 85724-0001

Ph: (520) 626-1376
Dr Brandon Richard Lewis Deatherage, DO
1625 N Campbell Ave,
Tucson, AZ 85719-4330

Ph: (520) 694-0111

Reviews and Comments


Psychiatry & Neurology Doctors in Tucson, AZ

Jim Seymour, MD
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Dr. Nelson Ricardo Rosario-leon, M.D.
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Phone: 520-872-4910    Fax: 520-872-5495
Kayse Cole Budd, MD
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Practice Location: 1501 N Campbell Ave, Tucson, AZ 85724
Phone: 520-694-6000    

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