Dr Deryck Winston Spencer Brown, MD is a medicare enrolled "Family Medicine" physician in Dushore, Pennsylvania. His current practice location is
110 Main Street, Dushore, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 928-8146.
Dr Deryck Winston Spencer Brown is licensed to practice in Pennsylvania (license number MD066159L) 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 1972577385.
Physician's Profile
| Full Name | Dr Deryck Winston Spencer Brown |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 110 Main Street, Dushore, Pennsylvania |
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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: 1972577385
- Provider Enumeration Date: 02/14/2006
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284641689
- Enrollment ID: I20060309000342
Medical Identifiers
Medical identifiers for Dr Deryck Winston Spencer Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1972577385 | NPI | - | NPPES |
| CC9269 | Other | PA | RR MEDICARE GROUP |
| GU040074 | Other | PA | MEDICARE GROUP |
| 01860782 | Medicaid | NY | |
| GU039778 | Other | PA | MEDICARE GROUP |
| 0017018700001 | Medicaid | PA | |
| 080176502 | Other | PA | RR MEDICARE PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | MD066159L (Pennsylvania) | 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 Deryck Winston Spencer Brown allows following entities to bill medicare on his behalf.
| Entity Name | Guthrie Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962451153 PECOS PAC ID: 6002728656 Enrollment ID: O20040301000571 |
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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 Deryck Winston Spencer Brown 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 Deryck Winston Spencer Brown, MD 1 Guthrie Sq, Sayre, PA 18840-1625 Ph: (570) 888-5858 | Dr Deryck Winston Spencer Brown, MD 110 Main Street, Dushore, PA 18614-0417 Ph: (570) 928-8146 |
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