Brenden Walter, DDS in Owosso, MI - Medicare Dentist Provider

Brenden Walter, DDS is a medicare enrolled "Dentist" provider in Owosso, Michigan. His current practice location is Great Lakes Bay Health Centers, 200 N Caledonia, Owosso, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 720-4822.

Brenden Walter is licensed to practice in Michigan (license number 2901601826) 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 1710674254.

Contact Information

	Brenden Walter, DDS
	Great Lakes Bay Health Centers, 200 N Caledonia, Owosso, MI 48867
	(989) 720-4822
	(989) 921-4959

Map and Direction

Healthcare Provider's Profile

Full Name	Brenden Walter
Gender	Male
Speciality	Dentist
Location	Great Lakes Bay Health Centers, Owosso, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710674254
Provider Enumeration Date: 04/24/2023
Last Update Date: 08/15/2023

Medicare PECOS Information:

PECOS PAC ID: 7214390269
Enrollment ID: I20230824000889

Medical Identifiers

Medical identifiers for Brenden Walter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710674254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2901601826 (Michigan)	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. Brenden Walter allows following entities to bill medicare on his behalf.

Entity Name	Great Lakes Bay Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871684761 PECOS PAC ID: 2466369046 Enrollment ID: O20040126000171

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. Brenden Walter 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
Brenden Walter, DDS 501 Lapeer Ave, Saginaw, MI 48607-1203 Ph: (989) 720-4188	Brenden Walter, DDS Great Lakes Bay Health Centers, 200 N Caledonia, Owosso, MI 48867 Ph: (989) 720-4822

Reviews and Comments

Dentist in Owosso, MI

Dr. Terrence Wayne Ryckman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 310 N Park St, Owosso, MI 48867 Phone: 989-723-8440
Timothy Stephen Glowniak, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1083 E M 21, Owosso, MI 48867 Phone: 989-723-6124 Fax: 989-725-1376
Dr. Bethany Chung, Dentist Medicare: Not Enrolled in Medicare Practice Location: 322 E Exchange St, Owosso, MI 48867 Phone: 989-723-4700
Dr. Jeffrey L. Golombisky, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1336 E M 21, Owosso, MI 48867 Phone: 989-723-8135 Fax: 989-723-8649
Dr. Mark S Medel, DDS ORAL AND MAXILLO Dentist Medicare: Not Enrolled in Medicare Practice Location: 208 N Shiawassee St, Owosso, MI 48867 Phone: 989-723-3882 Fax: 989-729-1723
Phillip James Wolf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 222 N Park St, Owosso, MI 48867 Phone: 989-725-7825
Ahmad-reza Noroozi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 306 N Gould St, Owosso, MI 48867 Phone: 989-723-3882

Brenden Walter, DDS - Medicare Dentist in Owosso, MI