Brandon Fetterolf, DO - Medicare Emergency Medicine in Tacoma, WA

Brandon Fetterolf, DO is a medicare enrolled "Emergency Medicine" physician in Tacoma, Washington. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice The Carolinas Emergency Group, Pllc, Carolinas Medical Center, Wake Forest Emergency Providers and his current practice location is Madigan Army Medical Center, 9040 Fitzsimmons Dr, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (989) 859-3260.

Brandon Fetterolf is licensed to practice in North Carolina (license number 2017-01929) 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 1679815195.

Contact Information

Brandon Fetterolf, DO
Madigan Army Medical Center, 9040 Fitzsimmons Dr,
Tacoma, WA 98431
(989) 859-3260
Not Available



Physician's Profile

Full NameBrandon Fetterolf
GenderMale
SpecialityEmergency Medicine
Experience11 Years
LocationMadigan Army Medical Center, Tacoma, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Brandon Fetterolf attended and graduated from Michigan State University College Of Osteopathic Medicine in 2013
  NPI Data:
  • NPI Number: 1679815195
  • Provider Enumeration Date: 03/22/2013
  • Last Update Date: 03/07/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2769798966
  • Enrollment ID: I20180416000552

Medical Identifiers

Medical identifiers for Brandon Fetterolf such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679815195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2017-01929 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Carolinas Medical Center-northeastConcord, NCHospital
Carolinas Medical Center/behav HealthCharlotte, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Carolinas Emergency Group, Pllc256748681473
Carolinas Medical Center4789597477735
Wake Forest Emergency Providers7012819816218

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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. Brandon Fetterolf allows following entities to bill medicare on his behalf.
Entity NameCarolinas Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275774333
PECOS PAC ID: 4789597477
Enrollment ID: O20031110000116

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Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577

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Entity NameWake Forest Emergency Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396216735
PECOS PAC ID: 7012819816
Enrollment ID: O20190312003619

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Entity NameBallantyne Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164052726
PECOS PAC ID: 8123459898
Enrollment ID: O20200513000736

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Entity NameStallings Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235728031
PECOS PAC ID: 2769870971
Enrollment ID: O20211020002403

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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. Brandon Fetterolf 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
Brandon Fetterolf, DO
Madigan Army Medical Center, 9040 Fitzsimmons Dr,
Tacoma, WA 98431

Ph: (989) 859-3260
Brandon Fetterolf, DO
Madigan Army Medical Center, 9040 Fitzsimmons Dr,
Tacoma, WA 98431

Ph: (989) 859-3260

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Emergency Medicine Doctors in Tacoma, WA

Dr. Justin Cha-cheng Ng, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-403-2050    
Robert F Wachtel, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-403-1000    
Dr. Nathan Kinneer Friedline, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 9040 Jackson Ave, Tacoma, WA 98433
Phone: 850-885-2273    
Barbara Sherry Mezger, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-596-3400    Fax: 253-596-3301
Dr. Peter Stull, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431
Phone: 253-968-1250    Fax: 253-968-2550
Kevin E Callahan, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405
Phone: 253-403-1000    
June A Burn, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 14815 Pacific Ave S, Tacoma, WA 98444
Phone: 253-697-8660    

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