Mr Matthew A Brunson, DDS is a medicare enrolled "Dentist - Endodontics" provider in Sells, Arizona. His current practice location is
Sells Hospital, Hwy 86, Sells, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 226-7494.
Mr Matthew A Brunson is licensed to practice in Arizona (license number D008212) 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 1770526451.
Healthcare Provider's Profile
| Full Name | Mr Matthew A Brunson |
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| Gender | Male |
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| Speciality | Dentist - Endodontics |
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| Location | Sells Hospital, Sells, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1770526451
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 12/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 6507876505
- Enrollment ID: I20060504000155
Medical Identifiers
Medical identifiers for Mr Matthew A Brunson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770526451 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223E0200X | Dentist - Endodontics | D008212 (Arizona) | 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. Mr Matthew A Brunson allows following entities to bill medicare on his behalf.
| Entity Name | The Fort Defiance Indian Hospital Board, Incorporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477876639
PECOS PAC ID: 0941336697
Enrollment ID: O20100429001153 |
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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. Mr Matthew A Brunson 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 |
|---|
Mr Matthew A Brunson, DDS
3226 E Elida St,
Tucson, AZ 85716-3221
Ph: (734) 730-1035 | Mr Matthew A Brunson, DDS
Sells Hospital, Hwy 86,
Sells, AZ 85634-8563
Ph: (928) 226-7494 |
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