Brent Brewer, PHYSICIAN ASSISTANT is a medicare enrolled "Physician Assistant" in Pryor, Oklahoma. He graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Grand Lake Mental Health Center, Inc. and his current practice location is
231 E Graham Ave, Pryor, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 825-1405.
Brent Brewer is licensed to practice in Oklahoma (license number 2737) 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 1316189087.
Provider's Profile
| Full Name | Brent Brewer |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 10 Years |
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| Location | 231 E Graham Ave, Pryor, Oklahoma |
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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:
- Brent Brewer graduated from nursing school in 2016
NPI Data:
- NPI Number: 1316189087
- Provider Enumeration Date: 03/27/2009
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 4284918822
- Enrollment ID: I20170228000775
Medical Identifiers
Medical identifiers for Brent Brewer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1316189087 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 2737 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Grand Lake Mental Health Center, Inc. | 4688711534 | 121 |
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. Brent Brewer allows following entities to bill medicare on his behalf.
| Entity Name | Grand Lake Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497762520
PECOS PAC ID: 4688711534
Enrollment ID: O20091026000174 |
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| Entity Name | Gio PLLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1720427784
PECOS PAC ID: 9032347356
Enrollment ID: O20140114000171 |
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| Entity Name | Thomas Luiskutty MD PLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063968352
PECOS PAC ID: 1658652979
Enrollment ID: O20161228002115 |
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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. Brent Brewer 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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Brent Brewer, PHYSICIAN ASSISTANT
231 E Graham Ave,
Pryor, OK 74361-2436
Ph: (918) 825-1405 | Brent Brewer, PHYSICIAN ASSISTANT
231 E Graham Ave,
Pryor, OK 74361-2436
Ph: (918) 825-1405 |
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