Dr Brian James Underwood, DDS is a medicare enrolled "Dentist - General Practice" provider in Strum, Wisconsin. His current practice location is
105 5th Ave N, Strum, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 695-2918.
Dr Brian James Underwood is licensed to practice in Wisconsin (license number 3750) 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 1972524908.
Healthcare Provider's Profile
| Full Name | Dr Brian James Underwood |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 105 5th Ave N, Strum, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1972524908
- Provider Enumeration Date: 07/23/2006
- Last Update Date: 03/11/2008
Medicare PECOS Information:
- PECOS PAC ID: 4880585413
- Enrollment ID: I20160415000018
Medical Identifiers
Medical identifiers for Dr Brian James Underwood such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972524908 | NPI | - | NPPES |
| 33693400 | Medicaid | WI | |
| 391675083011 | Other | | BLUE CROSS BLUE SHIELD |
| 391675083001 | Other | | DELTA DENTAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3750 (Wisconsin) | 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 Brian James Underwood 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 Brian James Underwood, DDS
105 5th Ave N, P.o. Box 400,
Strum, WI 54770-9252
Ph: (715) 695-2918 | Dr Brian James Underwood, DDS
105 5th Ave N,
Strum, WI 54770-9252
Ph: (715) 695-2918 |
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