Dr Brian Peter Dezzutti, MD is a
Pain Medicine - Interventional Pain Medicine physician based in Salem, Virginia. Dr Brian Peter Dezzutti is licensed to practice in Texas (license number Q1130) and his current practice location is 1970 Roanoke Blvd, Salem, Virginia. He can be reached at his office (for appointments etc.) via phone at
(540) 982-2463.
NPI number for Dr Brian Peter Dezzutti is 1255392262 and his current mailing address is 1970 Roanoke Blvd, Salem, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255392262.
Physician's Profile
| Full Name | Dr Brian Peter Dezzutti |
|---|
| Gender | Male |
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| Speciality | Pain Medicine - Interventional Pain Medicine |
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| Location | 1970 Roanoke Blvd, Salem, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255392262
- Provider Enumeration Date: 03/29/2006
- Last Update Date: 05/04/2016
Medical Identifiers
Medical identifiers for Dr Brian Peter Dezzutti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255392262 | NPI | - | NPPES |
| 010156521 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | 0101231194 (Virginia) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | Q1130 (Texas) | 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. Dr Brian Peter Dezzutti is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brian Peter Dezzutti, MD
1970 Roanoke Blvd,
Salem, VA 24153-6404
Ph: (540) 982-2463 | Dr Brian Peter Dezzutti, MD
1970 Roanoke Blvd,
Salem, VA 24153-6404
Ph: (540) 982-2463 |
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