Brenley Deters, PA-C in Wentzville, MO - Medicare Physician Assistant

Brenley Deters, PA-C is a medicare enrolled "Physician Assistant" physician in Wentzville, Missouri. Her current practice location is 1060 Meyer Rd, Wentzville, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 230-1500.

Brenley Deters is licensed to practice in Missouri (license number 2023010764) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184323586.

Contact Information

	Brenley Deters, PA-C
	1060 Meyer Rd, Wentzville, MO 63385-3800
	(314) 230-1500
	Not Available

Physician's Profile

Full Name	Brenley Deters
Gender	Female
Speciality	Physician Assistant
Location	1060 Meyer Rd, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184323586
Provider Enumeration Date: 02/24/2023
Last Update Date: 03/23/2023

Medicare PECOS Information:

PECOS PAC ID: 4385000629
Enrollment ID: I20230511002817

Medical Identifiers

Medical identifiers for Brenley Deters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184323586	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	2023010764 (Missouri)	Secondary
363A00000X	Physician Assistant	2023010764 (Missouri)	Primary

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. Brenley Deters 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
Brenley Deters, PA-C 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: () -	Brenley Deters, PA-C 1060 Meyer Rd, Wentzville, MO 63385-3800 Ph: (314) 230-1500

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Brenley Deters, PA-C - Medicare Physician Assistant in Wentzville, MO