Brian A Reavley, DDS is a medicare enrolled "Dentist" provider in Lamar, Missouri. His current practice location is
804 Gulf St, Lamar, Missouri. You can reach out to his office (for appointments etc.) via phone at
(174) 682-3393.
Brian A Reavley is licensed to practice in Missouri (license number 2011016310) 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 1619265964.
Healthcare Provider's Profile
Full Name | Brian A Reavley |
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Gender | Male |
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Speciality | Dentist |
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Location | 804 Gulf St, Lamar, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619265964
- Provider Enumeration Date: 07/20/2011
- Last Update Date: 09/07/2021
Medicare PECOS Information:
- PECOS PAC ID: 3375848203
- Enrollment ID: I20211230000380
Medical Identifiers
Medical identifiers for Brian A Reavley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619265964 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2011016310 (Missouri) | 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. Brian A Reavley 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 A Reavley, DDS 804 Gulf St, Lamar, MO 64759-1239 Ph: (417) 682-3393 | Brian A Reavley, DDS 804 Gulf St, Lamar, MO 64759-1239 Ph: (174) 682-3393 |
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