Brian Alan Mabry, BRIAN MABRY is a medicare enrolled "Physician Assistant - Medical" in Pomeroy, Washington. His current practice location is
66 N 6th St, Pomeroy, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 843-1591.
Brian Alan Mabry is licensed to practice in Ohio (license number 50.003623) 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 1427300052.
Provider's Profile
| Full Name | Brian Alan Mabry |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 66 N 6th St, Pomeroy, Washington |
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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: 1427300052
- Provider Enumeration Date: 10/05/2012
- Last Update Date: 05/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 0941439327
- Enrollment ID: I20150930000702
Medical Identifiers
Medical identifiers for Brian Alan Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427300052 | NPI | - | NPPES |
| 20358733200 | Other | OH | BWC GROUP |
| 2630700 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 50.003623 (Ohio) | Primary |
| 363A00000X | Physician Assistant | PA60564965 (Washington) | Secondary |
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 Alan Mabry allows following entities to bill medicare on his behalf.
| Entity Name | Multicare Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497766638
PECOS PAC ID: 7719899897
Enrollment ID: O20031105000760 |
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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. Brian Alan Mabry 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 Alan Mabry, BRIAN MABRY
66 N 6th St,
Pomeroy, WA 99347-9705
Ph: (509) 843-1591 | Brian Alan Mabry, BRIAN MABRY
66 N 6th St,
Pomeroy, WA 99347-9705
Ph: (509) 843-1591 |
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