Dr Brandon Tyler Worley, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Lake Wales, Florida. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice K Wade Foster Md Pa and his current practice location is
421 Linden Ln, Lake Wales, Florida. You can reach out to his office (for appointments etc.) via phone at
(855) 353-7546.
Dr Brandon Tyler Worley is licensed to practice in Florida (license number ME143350) 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 1457823809.
Physician's Profile
| Full Name | Dr Brandon Tyler Worley |
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| Gender | Male |
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| Speciality | Micrographic Dermatologic Surgery (mds) |
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| Experience | 12 Years |
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| Location | 421 Linden Ln, Lake Wales, Florida |
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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:
- Dr Brandon Tyler Worley graduated from medical school in 2014
NPI Data:
- NPI Number: 1457823809
- Provider Enumeration Date: 12/26/2018
- Last Update Date: 08/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779810411
- Enrollment ID: I20200521000210
Medical Identifiers
Medical identifiers for Dr Brandon Tyler Worley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457823809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | ME143350 (Florida) | Secondary |
| 207N00000X | Dermatology | 036.148375 (Illinois) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | ME143350 (Florida) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | ME143350 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| K Wade Foster Md Pa | 3173663374 | 15 |
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 Brandon Tyler Worley allows following entities to bill medicare on his behalf.
| Entity Name | K Wade Foster Md Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205066404
PECOS PAC ID: 3173663374
Enrollment ID: O20091219000120 |
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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 Brandon Tyler Worley 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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Dr Brandon Tyler Worley, MD
421 Linden Ln,
Lake Wales, FL 33853-4342
Ph: (312) 695-7932 | Dr Brandon Tyler Worley, MD
421 Linden Ln,
Lake Wales, FL 33853-4342
Ph: (855) 353-7546 |
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