Clark Kennard Brackney, DPM in Greensboro, NC - Medicare Podiatrist Provider

Clark Kennard Brackney, DPM is a medicare enrolled "Podiatrist - Primary Podiatric Medicine" provider in Greensboro, North Carolina. His current practice location is 530 N Elam Ave Ste A, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 299-0271.

Clark Kennard Brackney is licensed to practice in North Carolina (license number 788) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699237016.

Contact Information

	Clark Kennard Brackney, DPM
	530 N Elam Ave Ste A, Greensboro, NC 27403-1139
	(336) 299-0271
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clark Kennard Brackney
Gender	Male
Speciality	Podiatrist - Primary Podiatric Medicine
Location	530 N Elam Ave Ste A, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699237016
Provider Enumeration Date: 04/03/2019
Last Update Date: 08/09/2022

Medicare PECOS Information:

PECOS PAC ID: 7517296619
Enrollment ID: I20220811002746

Medical Identifiers

Medical identifiers for Clark Kennard Brackney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699237016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213ES0103X	Podiatrist - Foot & Ankle Surgery	788 (North Carolina)	Secondary
213ES0131X	Podiatrist - Foot Surgery	788 (North Carolina)	Secondary
213EP1101X	Podiatrist - Primary Podiatric Medicine	788 (North Carolina)	Primary

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. Clark Kennard Brackney allows following entities to bill medicare on his behalf.

Provider Name	Instride Foot & Ankle Specialists, Pllc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1457601601 PECOS PAC ID: 7012168271 Enrollment ID: O20121115000501

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. Clark Kennard Brackney 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
Clark Kennard Brackney, DPM 530 N Elam Ave Ste A, Greensboro, NC 27403-1139 Ph: (336) 299-0271	Clark Kennard Brackney, DPM 530 N Elam Ave Ste A, Greensboro, NC 27403-1139 Ph: (336) 299-0271

Reviews and Comments

Podiatrist in Greensboro, NC

Dr. Jerry Wayne Harris, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 5323 Fox Cove Ln, U, Greensboro, NC 27407 Phone: 336-638-3700
Dr. Richard Charles Tuchman, DPM Podiatrist Medicare: Medicare Enrolled Practice Location: 2706 St Jude St, The Triad Foot Center Pa, Greensboro, NC 27405 Phone: 336-375-6990 Fax: 336-375-0361
Instride Foot And Ankle Specialists, Pllc Podiatrist Medicare: Medicare Enrolled Practice Location: 530 N Elam Ave, Greensboro, NC 27403 Phone: 336-299-0817 Fax: 336-299-8117
Dr. Titorya Stover, DPM/MPH Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2001 N Church St Ste 101, Greensboro, NC 27405 Phone: 336-375-6990
Foot Centers Of Nc, Pa Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 5921 W Friendly Ave Ste D, Greensboro, NC 27410 Phone: 336-218-8490 Fax: 336-768-3078
Kevin Patel, Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 2001 N Church St, Greensboro, NC 27405 Phone: 336-375-6990 Fax: 336-375-0361
William Tomaszewski, D.P.M. Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 3911 Battleground Ave, Greensboro, NC 27410 Phone: 336-763-9355 Fax: 336-763-9354

Clark Kennard Brackney, DPM - Medicare Podiatrist in Greensboro, NC