Zack Ellis Bryant, MD is a medicare enrolled "Preventive Medicine - Preventive Medicine/occupational Environmental Medicine" physician in Franklin, Tennessee. His current practice location is
3401 Mallory Ln, Franklin, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 695-2200.
Zack Ellis Bryant is licensed to practice in California (license number A158462) 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 1770945370.
Physician's Profile
| Full Name | Zack Ellis Bryant |
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| Gender | Male |
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| Speciality | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine |
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| Location | 3401 Mallory Ln, Franklin, Tennessee |
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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: 1770945370
- Provider Enumeration Date: 03/23/2016
- Last Update Date: 01/13/2026
Medicare PECOS Information:
- PECOS PAC ID: 4082986773
- Enrollment ID: I20190723001229
Medical Identifiers
Medical identifiers for Zack Ellis Bryant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770945370 | NPI | - | NPPES |
| 2412485 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083P0500X | Preventive Medicine - Preventive Medicine/occupational Environmental Medicine | A158462 (California) | 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. Zack Ellis Bryant allows following entities to bill medicare on his behalf.
| Entity Name | Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952998973
PECOS PAC ID: 8022922475
Enrollment ID: O20031118001149 |
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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. Zack Ellis Bryant 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 |
|---|
Zack Ellis Bryant, MD
3401 Mallory Ln,
Franklin, TN 37067-2025
Ph: () - | Zack Ellis Bryant, MD
3401 Mallory Ln,
Franklin, TN 37067-2025
Ph: (615) 695-2200 |
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