Henry Gasson Bryan, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Roseville, Michigan. He went to University Of Detroit Mercy School Of Dentistry and graduated in 1987 and has 37 years of diverse experience with area of expertise as Maxillofacial Surgery. His current practice location is
20805 E 12 Mile Rd, Suite 110, Roseville, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 778-2100.
Henry Gasson Bryan is licensed to practice in Michigan (license number HB014814) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992739379.
Healthcare Provider's Profile
| Full Name | Henry Gasson Bryan |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 37 Years |
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| Location | 20805 E 12 Mile Rd, Roseville, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Henry Gasson Bryan attended and graduated from University Of Detroit Mercy School Of Dentistry in 1987
NPI Data:
- NPI Number: 1992739379
- Provider Enumeration Date: 07/10/2006
- Last Update Date: 04/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 1658331798
- Enrollment ID: I20041013001139
Medical Identifiers
Medical identifiers for Henry Gasson Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992739379 | NPI | - | NPPES |
| 2932746 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | HB014814 (Michigan) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | HB014814 (Michigan) | 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. Henry Gasson Bryan allows following entities to bill medicare on his behalf.
| Entity Name | Renaissance Oral Surgery Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235325499
PECOS PAC ID: 8224098363
Enrollment ID: O20041013001083 |
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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. Henry Gasson Bryan 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 |
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Henry Gasson Bryan, DDS
20805 E 12 Mile Rd, Suite 110,
Roseville, MI 48066-6502
Ph: (586) 778-2100 | Henry Gasson Bryan, DDS
20805 E 12 Mile Rd, Suite 110,
Roseville, MI 48066-6502
Ph: (586) 778-2100 |
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