Brett Wallen, DMD is a
Anesthesiology - Pediatric Anesthesiology based in Aurora, Colorado. Brett Wallen is licensed to practice in Colorado (license number DEN.00008879) and his current practice location is
13123 E 16th Ave, Aurora, Colorado. He can be reached at his office (for appointments etc.) via phone at
(720) 777-6788.
NPI number for Brett Wallen is 1043325319 and his current mailing address is 13123 E 16th Ave # B240, Aurora, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043325319.
Healthcare Provider's Profile
Full Name | Brett Wallen |
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Gender | Male |
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Speciality | Anesthesiology - Pediatric Anesthesiology |
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Location | 13123 E 16th Ave, Aurora, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043325319
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 11/30/2018
Medical Identifiers
Medical identifiers for Brett Wallen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043325319 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0221X | Dentist - Pediatric Dentistry | 8879 (Colorado) | Secondary |
1223D0004X | Dentist - Dentist Anesthesiologist | DEN.00008879 (Colorado) | Secondary |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | DEN.00008879 (Colorado) | 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. Brett Wallen 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 |
Brett Wallen, DMD 13123 E 16th Ave # B240, Aurora, CO 80045-7106 Ph: (720) 777-6788 | Brett Wallen, DMD 13123 E 16th Ave, Aurora, CO 80045-7106 Ph: (720) 777-6788 |
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