Dr Corey Lee Brimacombe, DDS - Dentist in Wausau, WI

Dr Corey Lee Brimacombe, DDS is a Dentist - Pediatric Dentistry based in Wausau, Wisconsin. Dr Corey Lee Brimacombe is licensed to practice in Wisconsin (license number 5059) and his current practice location is 413 N 17th Ave, Wausau, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (715) 842-4649.

NPI number for Dr Corey Lee Brimacombe is 1659596153 and his current mailing address is 413 N 17th Ave, Wausau, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1659596153.

Contact Information

Dr Corey Lee Brimacombe, DDS
413 N 17th Ave,
Wausau, WI 54401-4226
(715) 842-4649
(715) 842-7331

Map and Direction




Healthcare Provider's Profile

Full NameDr Corey Lee Brimacombe
GenderMale
SpecialityDentist - Pediatric Dentistry
Location413 N 17th Ave, Wausau, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659596153
  • Provider Enumeration Date: 04/17/2007
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Dr Corey Lee Brimacombe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659596153NPI-NPPES
5059OtherWIDELTA WI ID#
33756600MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 5059 (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 Corey Lee Brimacombe is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Corey Lee Brimacombe, DDS
413 N 17th Ave,
Wausau, WI 54401-4226

Ph: (715) 842-4649
Dr Corey Lee Brimacombe, DDS
413 N 17th Ave,
Wausau, WI 54401-4226

Ph: (715) 842-4649

Reviews and Comments


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