Bryce Maxwell Ledner, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Smithtown, New York. His current practice location is
496 Smithtown Byp Ste 300, Smithtown, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 360-8000.
Bryce Maxwell Ledner is licensed to practice in * (Not Available) (license number ) 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 1780183079.
Healthcare Provider's Profile
| Full Name | Bryce Maxwell Ledner |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 496 Smithtown Byp Ste 300, Smithtown, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1780183079
- Provider Enumeration Date: 02/01/2018
- Last Update Date: 06/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 3476898057
- Enrollment ID: I20181231001731
Medical Identifiers
Medical identifiers for Bryce Maxwell Ledner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780183079 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 060947 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Bryce Maxwell Ledner 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 |
|---|
Bryce Maxwell Ledner, DDS
51 Harbor Park Dr,
Centerport, NY 11721-1640
Ph: (516) 356-6670 | Bryce Maxwell Ledner, DDS
496 Smithtown Byp Ste 300,
Smithtown, NY 11787-5012
Ph: (631) 360-8000 |
Reviews and Comments