| Dr Brian B Bruggeman, MD | |
|
675 Baltimore Dr, Wilkes Barre, PA 18702-7900 | |
| (570) 808-6400 | |
| (570) 808-6338 |
| Full Name | Dr Brian B Bruggeman |
|---|---|
| Gender | Male |
| Speciality | Plastic And Reconstructive Surgery |
| Experience | 29 Years |
| Location | 675 Baltimore Dr, Wilkes Barre, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356344626 | NPI | - | NPPES |
| 1023267895 | Medicaid | MT | |
| 784422 | Medicaid | AZ | |
| 808217900 | Medicaid | ID | |
| 18032746 | Other | AZ | STATE COMP FUND AZ |
| 1023267895 | Medicaid | ID | |
| 1356344626 | Medicaid | WI | |
| 31346 | Other | AZ | STATE LICENSE AZ |
| 8607474153011 | Other | AZ | TAX ID |
| AZ0734420 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| 1023267895 | Medicaid | WY | |
| POOOO4401 | Other | AZ | RAILROAD MEDICARE |
| 8640234 | Other | AZ | CIGNA |
| P784422 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | MD485999 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dean Health Systems Inc | 7012827983 | 1099 |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Entity Name | Thedacare Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376656959 PECOS PAC ID: 1759294887 Enrollment ID: O20031106000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian B Bruggeman, MD 100 N Academy Ave, Danville, PA 17822-9803 Ph: (570) 808-6400 | Dr Brian B Bruggeman, MD 675 Baltimore Dr, Wilkes Barre, PA 18702-7900 Ph: (570) 808-6400 |
Dr. Lisa Maria Jacob, M.D. Plastic Surgery Medicare: Medicare Enrolled Practice Location: 675 Baltimore Drive, Wilkes Barre, PA 18702 Phone: 570-808-6400 Fax: 570-808-6338 | |
Dr. David William Adcock, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 Baltimore Dr, Wilkes Barre, PA 18702 Phone: 570-808-6400 Fax: 570-808-6338 |