Mr Brandon Shane Tolbert, is a medicare enrolled "Physician Assistant" in Rutherford College, North Carolina. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Proactive Therapy Of North Carolina Inc, Emergeortho Pa and his current practice location is
841 Malcolm Blvd, Rutherford College, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(828) 874-3379.
Mr Brandon Shane Tolbert is licensed to practice in * (Not Available) (license number ) 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 1740846971.
Provider's Profile
| Full Name | Mr Brandon Shane Tolbert |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 7 Years |
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| Location | 841 Malcolm Blvd, Rutherford College, North 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 Brandon Shane Tolbert graduated from nursing school in 2019
NPI Data:
- NPI Number: 1740846971
- Provider Enumeration Date: 05/13/2019
- Last Update Date: 05/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395073480
- Enrollment ID: I20190828000548
Medical Identifiers
Medical identifiers for Mr Brandon Shane Tolbert such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1740846971 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Proactive Therapy Of North Carolina Inc | 6305753120 | 540 |
| Emergeortho Pa | 0749188894 | 726 |
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. Mr Brandon Shane Tolbert allows following entities to bill medicare on his behalf.
| Entity Name | Emergeortho PA |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376592964
PECOS PAC ID: 0749188894
Enrollment ID: O20040109000108 |
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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. Mr Brandon Shane Tolbert 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 Brandon Shane Tolbert,
841 Malcolm Blvd,
Rutherford College, NC 28671
Ph: Not Available | Mr Brandon Shane Tolbert,
841 Malcolm Blvd,
Rutherford College, NC 28671
Ph: (828) 874-3379 |
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