Brad A Feltis, MD - Medicare Surgery in Johnson City, TN

Brad A Feltis, MD is a medicare enrolled "Surgery - Pediatric Surgery" physician in Johnson City, Tennessee. His current practice location is 325 N State Of Franklin Rd Fl 3, Johnson City, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 439-7201.

Brad A Feltis is licensed to practice in Tennessee (license number MD60987) 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 1437110004.

Contact Information

Brad A Feltis, MD
325 N State Of Franklin Rd Fl 3,
Johnson City, TN 37604-6171
(423) 439-7201
(423) 438-7219



Physician's Profile

Full NameBrad A Feltis
GenderMale
SpecialitySurgery - Pediatric Surgery
Location325 N State Of Franklin Rd Fl 3, Johnson City, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437110004
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 03/06/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4082637434
  • Enrollment ID: I20060111000770

Medical Identifiers

Medical identifiers for Brad A Feltis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437110004NPI-NPPES
Q057730MedicaidTN
108781900MedicaidMN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0120XSurgery - Pediatric Surgery 40928 (Minnesota)Secondary
2086S0120XSurgery - Pediatric Surgery MD60987 (Tennessee)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. Brad A Feltis allows following entities to bill medicare on his behalf.
Entity NamePediatric Surgical Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093778292
PECOS PAC ID: 3678477544
Enrollment ID: O20031121000636

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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. Brad A Feltis 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
Brad A Feltis, MD
Po Box 699,
Mountain Home, TN 37684-0699

Ph: (423) 439-7201
Brad A Feltis, MD
325 N State Of Franklin Rd Fl 3,
Johnson City, TN 37604-6171

Ph: (423) 439-7201

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Surgery Doctors in Johnson City, TN

Dr. Melissa A Powell, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 410 N State Of Franklin Rd, Suite 130, Johnson City, TN 37604
Phone: 423-431-2477    Fax: 423-431-2478
Dr. David Northern Walters, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: James H. Quillen/vamc, Corner Of Sidney And Lamont, Johnson City, TN 37684
Phone: 423-926-1171    Fax: 423-979-3477
Dr. Rebecca Erion Odom, M.D.
Surgery
Medicare: Medicare Enrolled
Practice Location: 2333 Knob Creek Rd Ste 16, Johnson City, TN 37604
Phone: 423-975-0764    Fax: 423-975-0141
Michael J Allshouse, DO
Surgery
Medicare: Medicare Enrolled
Practice Location: 325 N State Of Franklin Rd Fl 3, Johnson City, TN 37604
Phone: 423-439-7201    Fax: 423-439-7219
Isaac William Browder, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 325 N State Of Franklin Rd, 3rd Floor, Johnson City, TN 37604
Phone: 423-439-7201    Fax: 423-439-7219
Ryan M Landis, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 410 N State Of Franklin Rd Ste 130, Johnson City, TN 37604
Phone: 423-431-2477    Fax: 423-431-2478
Tony O. Haley, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 3 Professional Park Dr Ste 31, Johnson City, TN 37604
Phone: 423-975-5650    Fax: 423-975-5652

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