Brandon Douglas Prentice, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Roanoke, Virginia. His current practice location is
1906 Belleview Ave Se, Roanoke, Virginia. You can reach out to his office (for appointments etc.) via phone at
(540) 981-7000.
Brandon Douglas Prentice is licensed to practice in * (Not Available) (license number ) 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 1427805928.
Physician's Profile
Full Name | Brandon Douglas Prentice |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1906 Belleview Ave Se, Roanoke, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427805928
- Provider Enumeration Date: 05/02/2024
- Last Update Date: 04/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335581891
- Enrollment ID: I20240529002849
Medical Identifiers
Medical identifiers for Brandon Douglas Prentice such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427805928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4351052691 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Brandon Douglas Prentice 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 |
Brandon Douglas Prentice, 3601 W 13 Mile Rd, Royal Oak, MI 48073-6712 Ph: () - | Brandon Douglas Prentice, 1906 Belleview Ave Se, Roanoke, VA 24014-1838 Ph: (540) 981-7000 |
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