Dr Brandon Vanasse, is a medicare enrolled "Dentist" provider in Derby, Vermont. His current practice location is
296 Main Street, Derby, Vermont. You can reach out to his office (for appointments etc.) via phone at
(802) 766-4711.
Dr Brandon Vanasse is licensed to practice in Vermont (license number 016.0120905) 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 1124479662.
Healthcare Provider's Profile
Full Name | Dr Brandon Vanasse |
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Gender | Male |
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Speciality | Dentist |
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Location | 296 Main Street, Derby, Vermont |
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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: 1124479662
- Provider Enumeration Date: 06/27/2016
- Last Update Date: 06/27/2016
Medicare PECOS Information:
- PECOS PAC ID: 0749578201
- Enrollment ID: I20161017000447
Medical Identifiers
Medical identifiers for Dr Brandon Vanasse such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124479662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 016.0120905 (Vermont) | 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. Dr Brandon Vanasse 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 |
Dr Brandon Vanasse, 296 Main Street, Derby, VT 05829 Ph: () - | Dr Brandon Vanasse, 296 Main Street, Derby, VT 05829 Ph: (802) 766-4711 |
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