Dr Brandon Tyler Coburn, DDS in Hurricane, WV

Dr Brandon Tyler Coburn, DDS is a medicare enrolled "Dentist" provider in Hurricane, West Virginia. His current practice location is 2939 Virginia Ave, Hurricane, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 833-9217.

Dr Brandon Tyler Coburn is licensed to practice in West Virginia (license number 4596) 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 1386360527.

Contact Information

	Dr Brandon Tyler Coburn, DDS
	2939 Virginia Ave, Hurricane, WV 25526-1254
	(304) 833-9217
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brandon Tyler Coburn
Gender	Male
Speciality	Dentist
Location	2939 Virginia Ave, Hurricane, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386360527
Provider Enumeration Date: 10/19/2022
Last Update Date: 04/01/2025

Medicare PECOS Information:

PECOS PAC ID: 0648622902
Enrollment ID: I20240123000835

Medical Identifiers

Medical identifiers for Dr Brandon Tyler Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386360527	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	4596 (West Virginia)	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 Brandon Tyler Coburn allows following entities to bill medicare on his behalf.

Entity Name	Valley Health Systems, Inc
Entity Type	Part B Supplier - Public Health/welfare Agency
Entity Identifiers	NPI Number: 1902962368 PECOS PAC ID: 9931017969 Enrollment ID: O20040325000411

Entity Name	Valley Health Systems, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720333461 PECOS PAC ID: 9931017969 Enrollment ID: O20130319000031

Entity Name	Valley Health Systems, Inc
Entity Type	Part B Supplier - Public Health/welfare Agency
Entity Identifiers	NPI Number: 1548542277 PECOS PAC ID: 9931017969 Enrollment ID: O20130415000484

Entity Name	Valley Health Systems, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477216919 PECOS PAC ID: 9931017969 Enrollment ID: O20220602001110

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 Brandon Tyler Coburn 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 Brandon Tyler Coburn, DDS 2939 Virginia Ave, Hurricane, WV 25526-1254 Ph: () -	Dr Brandon Tyler Coburn, DDS 2939 Virginia Ave, Hurricane, WV 25526-1254 Ph: (304) 833-9217

Reviews and Comments

Dentist in Hurricane, WV

Dr. Craig Smolder, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526 Phone: 304-757-1000
Dr. Christopher Lindsay Hugh, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3566 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-562-7818 Fax: 304-562-7820
J Michael Muto Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3860 Teays Valley Rd, Suite 5, Hurricane, WV 25526 Phone: 304-757-1000 Fax: 304-757-1091
John E Brock, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100a Prestige Park Dr, Hurricane, WV 25526 Phone: 304-757-0272 Fax: 304-757-0273
Dr. Dennis Paul King Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 400a1 Prestige Park Dr, Hurricane, WV 25526 Phone: 304-757-2771 Fax: 304-757-2774
Dr. Charles Edward Mcelfish Iv, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3979 Teays Valley Rd, Hurricane, WV 25526 Phone: 304-757-7590 Fax: 304-757-4108

Dr Brandon Tyler Coburn, DDS - Medicare Dentist in Hurricane, WV