Brian Glenn Widenhouse, MD in North Charleston, SC

Brian Glenn Widenhouse, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in North Charleston, South Carolina. His current practice location is 2683 Lake Park Dr, North Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 518-5000.

Brian Glenn Widenhouse is licensed to practice in South Carolina (license number 20096) 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 1265481543.

Contact Information

	Brian Glenn Widenhouse, MD
	2683 Lake Park Dr, North Charleston, SC 29406-9100
	(843) 518-5000
	(843) 614-8959

Map and Direction

Physician's Profile

Full Name	Brian Glenn Widenhouse
Gender	Male
Speciality	Surgery - Plastic And Reconstructive Surgery
Location	2683 Lake Park Dr, North Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265481543
Provider Enumeration Date: 05/06/2006
Last Update Date: 04/03/2017

Medicare PECOS Information:

PECOS PAC ID: 8628054152
Enrollment ID: I20040625000817

Medical Identifiers

Medical identifiers for Brian Glenn Widenhouse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265481543	NPI	-	NPPES
200963	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	20096 (South Carolina)	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. Brian Glenn Widenhouse allows following entities to bill medicare on his behalf.

Entity Name	Port City Plastic Surgery, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437385788 PECOS PAC ID: 4587717103 Enrollment ID: O20090729000843

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. Brian Glenn Widenhouse 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
Brian Glenn Widenhouse, MD 2683 Lake Park Dr, North Charleston, SC 29406-9100 Ph: (843) 518-5000	Brian Glenn Widenhouse, MD 2683 Lake Park Dr, North Charleston, SC 29406-9100 Ph: (843) 518-5000

Reviews and Comments

Surgery Doctors in North Charleston, SC

Dr. Allison Lundy Mccrae, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9330 Medical Plaza Dr, North Charleston, SC 29406 Phone: 843-797-7000
Kenneth Michael Desart, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2575 Elms Center Rd Ste 200, North Charleston, SC 29406 Phone: 843-724-1950
Dr. John Lee Smear, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9300 Medical Plaza Dr Ste B, North Charleston, SC 29406 Phone: 843-764-1730 Fax: 843-764-1731
Dr. William Foster Gaillard Jr., MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2575 Elms Center Rd Ste 200, North Charleston, SC 29406 Phone: 843-724-1950
William Samuel Ashwander, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2575 Elms Center Rd Ste 200, North Charleston, SC 29406 Phone: 843-724-1950
Dr. Thomas C. Appleby, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2575 Elms Center Rd Ste 200, North Charleston, SC 29406 Phone: 843-724-1950

Brian Glenn Widenhouse, MD - Medicare Surgery in North Charleston, SC