Mr Brett Wayne Thetford, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Santo, Texas. He went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Texan Family Health Llc and his current practice location is
13965 S Fm 4, Santo, Texas. You can reach out to his office (for appointments etc.) via phone at
(940) 769-2303.
Mr Brett Wayne Thetford is licensed to practice in Texas (license number AP129476) 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 1861841512.
Provider's Profile
| Full Name | Mr Brett Wayne Thetford |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 10 Years |
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| Location | 13965 S Fm 4, Santo, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Brett Wayne Thetford attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2014
NPI Data:
- NPI Number: 1861841512
- Provider Enumeration Date: 06/03/2016
- Last Update Date: 06/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 4486921087
- Enrollment ID: I20170602001240
Medical Identifiers
Medical identifiers for Mr Brett Wayne Thetford such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861841512 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP129476 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Texan Family Health Llc | 8729472139 | 3 |
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 Brett Wayne Thetford allows following entities to bill medicare on his behalf.
| Entity Name | Palo Pinto County Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841258076
PECOS PAC ID: 5890602759
Enrollment ID: O20031106000393 |
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| Entity Name | Emcc Stephenville Family Practice |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841756087
PECOS PAC ID: 9830511534
Enrollment ID: O20200625003014 |
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| Entity Name | Texan Family Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972255156
PECOS PAC ID: 8729472139
Enrollment ID: O20220301001968 |
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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 Brett Wayne Thetford 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 Brett Wayne Thetford, FNP-C
Po Box 65,
Santo, TX 76472-0065
Ph: (940) 769-2303 | Mr Brett Wayne Thetford, FNP-C
13965 S Fm 4,
Santo, TX 76472-3436
Ph: (940) 769-2303 |
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