Dr Jerry W Brackett, MD in Berea, KY - General Practice

Dr Jerry W Brackett, MD is a General Practice physician based in Berea, Kentucky. Dr Jerry W Brackett is licensed to practice in Kentucky (license number 14390) and his current practice location is 607 Chestnut St, Berea, Kentucky. He can be reached at his office (for appointments etc.) via phone at (859) 582-9331.

NPI number for Dr Jerry W Brackett is 1033165394 and his current mailing address is 607 Chestnut St, Berea, Kentucky. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033165394.

Contact Information

	Dr Jerry W Brackett, MD
	607 Chestnut St, Berea, KY 40403-1514
	(859) 582-9331
	(606) 789-5600

Physician's Profile

Full Name	Dr Jerry W Brackett
Gender	Male
Speciality	General Practice
Location	607 Chestnut St, Berea, Kentucky
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1033165394
Provider Enumeration Date: 05/26/2006
Last Update Date: 06/15/2009

Medical Identifiers

Medical identifiers for Dr Jerry W Brackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033165394	NPI	-	NPPES
000000059655	Other	KY	ANTHEM
64143902	Medicaid	KY
611139169	Other	KY	HUMANA
340002395	Other	KY	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	14390 (Kentucky)	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. Dr Jerry W Brackett is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jerry W Brackett, MD 607 Chestnut St, Berea, KY 40403-1514 Ph: (859) 582-9331	Dr Jerry W Brackett, MD 607 Chestnut St, Berea, KY 40403-1514 Ph: (859) 582-9331

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Dr Jerry W Brackett, MD - General Practice in Berea, KY