Dr Bobby Glenn Braswell Jr, DDS in Petal, MS

Dr Bobby Glenn Braswell Jr, DDS is a medicare enrolled "Dentist - General Practice" provider in Petal, Mississippi. His current practice location is 139 S Main St, Petal, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 584-9481.

Dr Bobby Glenn Braswell Jr is licensed to practice in Mississippi (license number 3411-07) 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 1295949386.

Contact Information

	Dr Bobby Glenn Braswell Jr, DDS
	139 S Main St, Petal, MS 39465
	(601) 584-9481
	(601) 544-5161

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bobby Glenn Braswell Jr
Gender	Male
Speciality	Dentist - General Practice
Location	139 S Main St, Petal, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295949386
Provider Enumeration Date: 05/09/2007
Last Update Date: 10/17/2014

Medicare PECOS Information:

PECOS PAC ID: 4587063458
Enrollment ID: I20210526000036

Medical Identifiers

Medical identifiers for Dr Bobby Glenn Braswell Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295949386	NPI	-	NPPES
12264946	Other	MS	CAQH ID#

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	3411-07 (Mississippi)	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 Bobby Glenn Braswell Jr allows following entities to bill medicare on his behalf.

Entity Name	Quentin N Burdick Comprehensive Health Care Facility
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952346934 PECOS PAC ID: 5496651853 Enrollment ID: O20031208001052

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 Bobby Glenn Braswell Jr 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 Bobby Glenn Braswell Jr, DDS 139 S Main St, Petal, MS 39465 Ph: (601) 584-9481	Dr Bobby Glenn Braswell Jr, DDS 139 S Main St, Petal, MS 39465 Ph: (601) 584-9481

Reviews and Comments

Dentist in Petal, MS

Dr. Charles J. Harrell Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 139 S Main St, Petal, MS 39465 Phone: 601-584-9481 Fax: 601-544-5161
Dr. Chandler Mccarley Hawkins, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1115 Evelyn Gandy Parkway, Petal, MS 39465 Phone: 014-755-6006
Dr. Hunter Hawkins, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1115 Evelyn Gandy Parkway, Petal, MS 39465 Phone: 601-475-5600
Dr. Charles Lamar Jones, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 223 N Main St, Petal, MS 39465 Phone: 601-583-3380 Fax: 601-583-7496
Barbara B Mauldin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Petal, MS 39465 Phone: 601-583-8726 Fax: 601-583-8777
Dr. Ramon Monroe Napier, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 404 S Main St, Petal, MS 39465 Phone: 601-583-0337 Fax: 601-583-0337

Dr Bobby Glenn Braswell Jr, DDS - Medicare Dentist in Petal, MS