Gary T Brotherson MD Inc
A Medicare group practice based in Erie, PA: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 6406893056), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6406893056
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- PA
- Enrollments
- 1
- Group size
- 2 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 1
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20050414000683 | PA | Part B Supplier - Clinic/Group Practice | 1497788087 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
Practice locations
- Erie, PA1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (2).
-
Gary T Brotherson, M.D.
- Ophthalmology Physician
- Erie, PA
- NPI 1932173754
-
Jenna Foglio, OD
- Optometrist
- Cleveland, OH
- NPI 1497246458
-
Richard B Hetrick, OD
- Optometrist
- Erie, PA
- NPI 1942274691
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.