Dr Tyler Brenneman, MD - Medicare Radiology in Fort Worth, TX

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Dr Tyler Brenneman, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Worth, Texas. His current practice location is 815 Pennsylvania Ave, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 321-0404.

Dr Tyler Brenneman is licensed to practice in Texas (license number U2444) 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 1134623796.

Contact Information

Dr Tyler Brenneman, MD
815 Pennsylvania Ave,
Fort Worth, TX 76104-2224
(817) 321-0404
Not Available

Map and Direction




Physician's Profile

Full NameDr Tyler Brenneman
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location815 Pennsylvania Ave, Fort Worth, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134623796
  • Provider Enumeration Date: 03/20/2018
  • Last Update Date: 06/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6901132810
  • Enrollment ID: I20230706000746

Medical Identifiers

Medical identifiers for Dr Tyler Brenneman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134623796NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 2023-00724 (North Carolina)Secondary
2085R0202XRadiology - Diagnostic Radiology U2444 (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 Tyler Brenneman allows following entities to bill medicare on his behalf.
Entity NameWake Forest University Health Sciences
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003803032
PECOS PAC ID: 4486564952
Enrollment ID: O20031105000436
Entity NameWake Forest Baptist Imaging Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972763357
PECOS PAC ID: 3173681681
Enrollment ID: O20081027000587

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 Tyler Brenneman 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 AddressPractice Location Address
Dr Tyler Brenneman, MD
816 W Cannon St,
Fort Worth, TX 76104-3194

Ph: () -		Dr Tyler Brenneman, MD
815 Pennsylvania Ave,
Fort Worth, TX 76104-2224

Ph: (817) 321-0404

Reviews and Comments


Radiology Doctors in Fort Worth, TX

Kelly C Starkey, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-321-0404    Fax: 469-522-6889
Dr. Mark Sohner, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 173-210-4048    
Dr. John A Queralt, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-321-0312    Fax: 817-317-7033
Dr. Robert Joseph Reeb Jr., MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-321-0312    Fax: 817-317-7033
Eugenia Payne, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-321-0404    
Dr. Jeffrey Scott Wenzel, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-321-0387    
Dr. Robert Lewis Emery, M.D.
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 815 Pennsylvania Ave, Fort Worth, TX 76104
Phone: 817-321-0404    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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