Dr Teddy Wallace Brown Jr, MD is a medicare enrolled "Otolaryngology" physician in Hudson, Florida. He graduated from medical school in 1984 and has 41 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Tampa Bay Surgical Group Llp and his current practice location is
13910 Fivay Road Suite 12, Hudson, Florida. You can reach out to his office (for appointments etc.) via phone at
(727) 861-0678.
Dr Teddy Wallace Brown Jr is licensed to practice in Florida (license number ME85915) 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 1588640015.
Physician's Profile
| Full Name | Dr Teddy Wallace Brown Jr |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 41 Years |
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| Location | 13910 Fivay Road Suite 12, Hudson, 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 Teddy Wallace Brown Jr graduated from medical school in 1984
NPI Data:
- NPI Number: 1588640015
- Provider Enumeration Date: 12/16/2005
- Last Update Date: 10/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244367316
- Enrollment ID: I20101115000982
Medical Identifiers
Medical identifiers for Dr Teddy Wallace Brown Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588640015 | NPI | - | NPPES |
| 265323100 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | TP896 (Kentucky) | Secondary |
| 207Y00000X | Otolaryngology | ME85915 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Tampa Bay Surgical Group Llp | 8224113527 | 29 |
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 Teddy Wallace Brown Jr allows following entities to bill medicare on his behalf.
| Entity Name | Tampa Bay Surgical Group Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831308949
PECOS PAC ID: 8224113527
Enrollment ID: O20080311000521 |
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| Entity Name | Community Hospital Family Practice Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902094857
PECOS PAC ID: 2264595941
Enrollment ID: O20090106000661 |
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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 Teddy Wallace Brown Jr 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 Teddy Wallace Brown Jr, MD
13910 Fivay Road Suite 12,
Hudson, FL 34667
Ph: (727) 861-0678 | Dr Teddy Wallace Brown Jr, MD
13910 Fivay Road Suite 12,
Hudson, FL 34667
Ph: (727) 861-0678 |
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