Mr Bralyn Bennett Jr, PA-C is a medicare enrolled "Dermatology" in Myrtle Beach, South Carolina. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Waccamaw Dermatology Llc and his current practice location is
5046 Highway 17 Byp S Ste 200, Myrtle Beach, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 839-3501.
Mr Bralyn Bennett Jr is licensed to practice in South Carolina (license number 3837) 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 1669145249.
Provider's Profile
| Full Name | Mr Bralyn Bennett Jr |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 5046 Highway 17 Byp S Ste 200, Myrtle Beach, South Carolina |
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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:
- Mr Bralyn Bennett Jr graduated from nursing school in 2020
NPI Data:
- NPI Number: 1669145249
- Provider Enumeration Date: 07/29/2021
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002206463
- Enrollment ID: I20211130000569
Medical Identifiers
Medical identifiers for Mr Bralyn Bennett Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669145249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 3837 (South Carolina) | Secondary |
| 207N00000X | Dermatology | 3837 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Waccamaw Dermatology Llc | 7315021169 | 15 |
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. Mr Bralyn Bennett Jr 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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Mr Bralyn Bennett Jr, PA-C
8170 Rourk St Ste 100,
Myrtle Beach, SC 29572-4127
Ph: (843) 449-0453 | Mr Bralyn Bennett Jr, PA-C
5046 Highway 17 Byp S Ste 200,
Myrtle Beach, SC 29588-4503
Ph: (843) 839-3501 |
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