Dr Andrew Thomas Bracci, DMD in Great Lakes, IL

Dr Andrew Thomas Bracci, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Great Lakes, Illinois. His current practice location is 3001 6th St, Great Lakes, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 688-2100.

Dr Andrew Thomas Bracci is licensed to practice in New York (license number 055288) 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 1528046620.

Contact Information

	Dr Andrew Thomas Bracci, DMD
	3001 6th St, Great Lakes, IL 60088-2833
	(847) 688-2100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Andrew Thomas Bracci
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3001 6th St, Great Lakes, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528046620
Provider Enumeration Date: 01/09/2006
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 3678738820
Enrollment ID: I20120713000148

Medical Identifiers

Medical identifiers for Dr Andrew Thomas Bracci such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528046620	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	19026285 (Illinois)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	055288 (New York)	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. Dr Andrew Thomas Bracci allows following entities to bill medicare on his behalf.

Entity Name	Buffalo Oral Surgery, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871772053 PECOS PAC ID: 6305025248 Enrollment ID: O20110125000746

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 Andrew Thomas Bracci 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
Dr Andrew Thomas Bracci, DMD 1212 N Lasalle St, Unit 1105, Chicago, IL 60610-8027 Ph: (312) 502-1292	Dr Andrew Thomas Bracci, DMD 3001 6th St, Great Lakes, IL 60088-2833 Ph: (847) 688-2100

Reviews and Comments

Dentist in Great Lakes, IL

Dr. James William Conway, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001a Sixth St, Great Lakes, IL 60088 Phone: 847-688-3331
Dr. Paul Gerard Luepke, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St, Great Lakes, IL 60088 Phone: 847-688-3699 Fax: 847-688-6259
Shannan Jesse Walker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2410 Sampson St, Great Lakes, IL 60088 Phone: 847-688-3331
Dr. Bruce Alan Rannin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3001a Sixth Street, Naval Hospital N00211, Great Lakes, IL 60088 Phone: 847-688-3950 Fax: 847-688-6369
Dr. Lance Scott Baumgarten, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001 A 6th Street, Great Lakes, IL 60088 Phone: 847-688-5460
Dr. John Schroer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001a Sixth St, Naval Hospital Great Lakes, Great Lakes, IL 60088 Phone: 847-688-2100
Dr. Molly Ann Jenkins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3001 6th St, Ste A, Great Lakes, IL 60088 Phone: 847-688-2100

Dr Andrew Thomas Bracci, DMD - Medicare Dentist in Great Lakes, IL