Mr Brandon Tibbitts, PA-C - Medicare Physician Assistant in Wethersfield, CT

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Mr Brandon Tibbitts, PA-C is a medicare enrolled "Physician Assistant" in Wethersfield, Connecticut. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Hartford Healthcare Urgent Care Centers Llc, Demos Dermatology Llc and his current practice location is 1290 Silas Deane Hwy, Wethersfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 777-1280.

Mr Brandon Tibbitts is licensed to practice in Connecticut (license number 003752) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1205276474.

Contact Information

Mr Brandon Tibbitts, PA-C
1290 Silas Deane Hwy,
Wethersfield, CT 06109-4337
(860) 777-1280
(860) 777-1276

Map and Direction




Provider's Profile

Full NameMr Brandon Tibbitts
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location1290 Silas Deane Hwy, Wethersfield, Connecticut
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Brandon Tibbitts graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1205276474
  • Provider Enumeration Date: 07/02/2013
  • Last Update Date: 10/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6901031855
  • Enrollment ID: I20170113002067

Medical Identifiers

Medical identifiers for Mr Brandon Tibbitts such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205276474NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 003752 (Connecticut)Primary
207N00000XDermatology 003752 (Connecticut)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hartford Healthcare Urgent Care Centers Llc7618242777201
Demos Dermatology Llc58901698825

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 Tibbitts allows following entities to bill medicare on his behalf.
Entity NameIntegrated Dermatology of Enfield, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134544661
PECOS PAC ID: 6305061912
Enrollment ID: O20140715000874
Entity NameHartford Healthcare Urgent Care Centers LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093239683
PECOS PAC ID: 7618242777
Enrollment ID: O20170929001464

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 Tibbitts 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
Mr Brandon Tibbitts, PA-C
113 Elm St Ste 304,
Enfield, CT 06082-3739

Ph: (860) 741-2225		Mr Brandon Tibbitts, PA-C
1290 Silas Deane Hwy,
Wethersfield, CT 06109-4337

Ph: (860) 777-1280

Reviews and Comments


Physician Assistant Nurses in Wethersfield, CT

Beth Anne Dean, MS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Silas Deane Hwy Ste 101, Wethersfield, CT 06109
Phone: 877-707-4442    
Mrs. Nataliya Krayzman,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 40 Mayfield Rd, Wethersfield, CT 06109
Phone: 860-392-9897    
Chelsey Paholski Gavelek, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1290 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-972-6977    
Nicole L Hettrich, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1025 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-696-2400    Fax: 860-696-2410
Theresa Creamer, PA-C, RD
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 988 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-493-1950    Fax: 860-493-1961
Alexandra Zhakov,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1260 Silas Deane Hwy, Wethersfield, CT 06109
Phone: 860-258-3477    
Christian Keene,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1290 Silas Deane Highway, Hartford Healthcare Cvo, Wethersfield, CT 06109
Phone: 860-972-9093    Fax: 860-972-7040

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.