Dr Thomas Kevin Braswell, MD is a medicare enrolled "Ophthalmology" physician in Grenada, Mississippi. His current practice location is
1321 Sunset Dr Ste B, Grenada, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(662) 226-2030.
Dr Thomas Kevin Braswell is licensed to practice in Mississippi (license number 13510) 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 1356307946.
Physician's Profile
| Full Name | Dr Thomas Kevin Braswell |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 1321 Sunset Dr Ste B, Grenada, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356307946
- Provider Enumeration Date: 04/24/2006
- Last Update Date: 06/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5395752281
- Enrollment ID: I20120203000717
Medical Identifiers
Medical identifiers for Dr Thomas Kevin Braswell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356307946 | NPI | - | NPPES |
| 00112536 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 13510 (Mississippi) | 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 Thomas Kevin Braswell allows following entities to bill medicare on his behalf.
| Entity Name | T. Kevin Braswell, Md P.a. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740461201
PECOS PAC ID: 1850308743
Enrollment ID: O20060317000364 |
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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 Thomas Kevin Braswell 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 Thomas Kevin Braswell, MD
1321 Sunset Dr Ste B,
Grenada, MS 38901-4005
Ph: (662) 226-2030 | Dr Thomas Kevin Braswell, MD
1321 Sunset Dr Ste B,
Grenada, MS 38901-4005
Ph: (662) 226-2030 |
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