Dr Kent Philip Brantly, MD in Indianapolis, IN

Dr Kent Philip Brantly, MD is a medicare enrolled "Family Medicine" physician in Indianapolis, Indiana. His current practice location is 10122 E 10th St Ste 100, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 355-5717.

Dr Kent Philip Brantly is licensed to practice in Indiana (license number 01096271A) 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 1063745768.

Contact Information

	Dr Kent Philip Brantly, MD
	10122 E 10th St Ste 100, Indianapolis, IN 46229-2697
	(317) 355-5717
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kent Philip Brantly
Gender	Male
Speciality	Family Medicine
Location	10122 E 10th St Ste 100, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063745768
Provider Enumeration Date: 09/12/2009
Last Update Date: 08/05/2025

Medicare PECOS Information:

PECOS PAC ID: 1456662386
Enrollment ID: I20150619000083

Medical Identifiers

Medical identifiers for Dr Kent Philip Brantly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063745768	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	P0816 (Texas)	Secondary
207Q00000X	Family Medicine	01096271A (Indiana)	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 Kent Philip Brantly allows following entities to bill medicare on his behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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 Kent Philip Brantly 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 Kent Philip Brantly, MD 1617 Hemphill St, Fort Worth, TX 76104-4709 Ph: (817) 702-2396	Dr Kent Philip Brantly, MD 10122 E 10th St Ste 100, Indianapolis, IN 46229-2697 Ph: (317) 355-5717

Reviews and Comments

Family Medicine Doctors in Indianapolis, IN

Leigha Marie Murphy, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 8904 Bash St Ste B, Indianapolis, IN 46256 Phone: 317-735-6001 Fax: 855-450-1177
Donald H Lauer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1250 E County Line Rd, Suite 9, Indianapolis, IN 46227 Phone: 317-881-9797 Fax: 317-881-4156
Robert Kiess Newton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9560 E 59th St, Indianapolis, IN 46216 Phone: 317-621-1700 Fax: 317-621-1711
Dr. Bernard M Herbst, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5839 E Washington St, Indianapolis, IN 46219 Phone: 317-353-9777 Fax: 317-357-6922
Teresa Trierweiler, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4880 Century Plaza Rd, Suite 200, Indianapolis, IN 46254 Phone: 317-293-4113 Fax: 317-290-2542
Dr. Phumeza Msikinya, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8920 Southpointe Dr Ste B, Indianapolis, IN 46227 Phone: 317-497-1900
Ruben Hernan Hernandez Mondragon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1040 Wishard Blvd, Indianapolis, IN 46202 Phone: 317-962-8893 Fax: 317-962-2990

Dr Kent Philip Brantly, MD - Medicare Family Medicine in Indianapolis, IN