Dr Brandy Burgess, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Imperial, Missouri. Her current practice location is
1276 Main St, Imperial, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 223-7123.
Dr Brandy Burgess is licensed to practice in Missouri (license number 2006016233) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265625958.
Healthcare Provider's Profile
Full Name | Dr Brandy Burgess |
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Gender | Female |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | 1276 Main St, Imperial, 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: 1265625958
- Provider Enumeration Date: 08/25/2007
- Last Update Date: 01/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 3375850308
- Enrollment ID: I20150923001390
Medical Identifiers
Medical identifiers for Dr Brandy Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265625958 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 53055 (California) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 9818 (Colorado) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2006016233 (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. Dr Brandy Burgess 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 Brandy Burgess, DDS 1276 Main St, Imperial, MO 63052-3861 Ph: (636) 223-7123 | Dr Brandy Burgess, DDS 1276 Main St, Imperial, MO 63052-3861 Ph: (636) 223-7123 |
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