Dr Bruce R Mumford, DMD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Vacouver, Washington. His current practice location is
12711 Se Mill Plain Blvd, Vacouver, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 896-4484.
Dr Bruce R Mumford is licensed to practice in Washington (license number DE00006872) 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 1265473417.
Healthcare Provider's Profile
Full Name | Dr Bruce R Mumford |
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Gender | Male |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | 12711 Se Mill Plain Blvd, Vacouver, Washington |
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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: 1265473417
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1658549761
- Enrollment ID: I20110715000276
Medical Identifiers
Medical identifiers for Dr Bruce R Mumford such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265473417 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DE00006872 (Washington) | 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 Bruce R Mumford 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 Bruce R Mumford, DMD 2038 Nw 45th Ave, Camas, WA 98607-8539 Ph: (360) 896-4484 | Dr Bruce R Mumford, DMD 12711 Se Mill Plain Blvd, Vacouver, WA 98607 Ph: (360) 896-4484 |
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