Dr Brian Michael Woo, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Fresno, California. His current practice location is
290 North Wayte Lane, Fresno, California. You can reach out to his office (for appointments etc.) via phone at
(559) 459-5120.
Dr Brian Michael Woo is licensed to practice in California (license number A107428) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1558579144.
Healthcare Provider's Profile
| Full Name | Dr Brian Michael Woo |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 290 North Wayte Lane, Fresno, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Brian Michael Woo attended and graduated from in
NPI Data:
- NPI Number: 1558579144
- Provider Enumeration Date: 05/18/2007
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Brian Michael Woo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558579144 | NPI | - | NPPES |
| A107428 | Other | CA | MEDICAL LICENSE |
| GA 1484 | Other | CA | GENERAL ANESTHESIA LICENSE |
| 50017 | Other | CA | DENTAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 50017 (California) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 50017 (California) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 50017 (California) | Secondary |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | A107428 (California) | Secondary |
| 2086S0127X | Surgery - Trauma Surgery | A107428 (California) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | A107428 (California) | 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 Michael Woo 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 Michael Woo, DDS, MD
290 North Wayte Lane,
Fresno, CA 93701-1324
Ph: (559) 459-5120 | Dr Brian Michael Woo, DDS, MD
290 North Wayte Lane,
Fresno, CA 93701-1324
Ph: (559) 459-5120 |
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