Dr Terry Vincent Pursley, MD in Brownwood, TX

Dr Terry Vincent Pursley, MD is a medicare enrolled "Dermatology" physician in Brownwood, Texas. His current practice location is 2504 Crockett Dr, Brownwood, Texas. You can reach out to his office (for appointments etc.) via phone at (325) 646-2929.

Dr Terry Vincent Pursley is licensed to practice in Texas (license number E6154) 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 1962498824.

Contact Information

	Dr Terry Vincent Pursley, MD
	2504 Crockett Dr, Brownwood, TX 76801-5900
	(325) 646-2929
	(325) 641-0122

Map and Direction

Physician's Profile

Full Name	Dr Terry Vincent Pursley
Gender	Male
Speciality	Dermatology
Location	2504 Crockett Dr, Brownwood, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962498824
Provider Enumeration Date: 09/26/2005
Last Update Date: 10/23/2007

Medicare PECOS Information:

PECOS PAC ID: 9335309103
Enrollment ID: I20120402000515

Medical Identifiers

Medical identifiers for Dr Terry Vincent Pursley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962498824	NPI	-	NPPES
00817K	Other	TX	MEDICARE GROUP NUMBER
114166503	Medicaid	TX
45D0488829	Other	TX	CLIA NUMBER
070002444	Other	TX	MEDICARE B RR PALMETTO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	E6154 (Texas)	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 Terry Vincent Pursley allows following entities to bill medicare on his behalf.

Entity Name	Epiphany Dermatology Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043615263 PECOS PAC ID: 3971827791 Enrollment ID: O20150126001498

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 Terry Vincent Pursley 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 Terry Vincent Pursley, MD 2504 Crockett Dr, Brownwood, TX 76801-5900 Ph: (325) 646-2929	Dr Terry Vincent Pursley, MD 2504 Crockett Dr, Brownwood, TX 76801-5900 Ph: (325) 646-2929

Dr Terry Vincent Pursley, MD - Medicare Dermatology in Brownwood, TX