Bret J Tucker, DDS in Salt Lake City, UT - Medicare Dentist Provider

Bret J Tucker, DDS is a medicare enrolled "Dentist - General Practice" provider in Salt Lake City, Utah. His current practice location is 1953 California Ave, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 886-9341.

Bret J Tucker is licensed to practice in Utah (license number 144126-9921) 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 1962671495.

Contact Information

	Bret J Tucker, DDS
	1953 California Ave, Salt Lake City, UT 84104-4100
	(801) 886-9341
	(801) 886-1786

Map and Direction

Healthcare Provider's Profile

Full Name	Bret J Tucker
Gender	Male
Speciality	Dentist - General Practice
Location	1953 California Ave, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962671495
Provider Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008

Medicare PECOS Information:

PECOS PAC ID: 1658778626
Enrollment ID: I20211214000685

Medical Identifiers

Medical identifiers for Bret J Tucker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962671495	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	144126-9921 (Utah)	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. Bret J Tucker allows following entities to bill medicare on his behalf.

Entity Name	Otr Dental Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285212589 PECOS PAC ID: 8022414028 Enrollment ID: O20210830003364

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. Bret J Tucker 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
Bret J Tucker, DDS Po Box 271069, Salt Lake City, UT 84127-1069 Ph: (801) 886-9341	Bret J Tucker, DDS 1953 California Ave, Salt Lake City, UT 84104-4100 Ph: (801) 886-9341

Reviews and Comments

Dentist in Salt Lake City, UT

Dr. Adam Richard Van Leeuwen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6936 South 2475 East, 201, Salt Lake City, UT 84121 Phone: 801-943-1612 Fax: 801-942-6008
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Dr. Oscar Daniel Bluth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 515 S 1000 E, Suite L-2 West, Salt Lake City, UT 84102 Phone: 801-370-0050
Dr. Michael Reed Slater, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-584-1206
Nielson Kirk Ashton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2180 E 4500 S Ste 250, Salt Lake City, UT 84117 Phone: 801-272-8609

Bret J Tucker, DDS - Medicare Dentist in Salt Lake City, UT