Dr Jason Bradford Untrauer, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Omaha, Nebraska. He went to University Of Connecticut School Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Unmc Physicians and his current practice location is
4014 Leavenworth St, Omaha, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(402) 559-5999.
Dr Jason Bradford Untrauer is licensed to practice in Nebraska (license number 25465) 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 1164686648.
Healthcare Provider's Profile
| Full Name | Dr Jason Bradford Untrauer |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 21 Years |
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| Location | 4014 Leavenworth St, Omaha, Nebraska |
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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 Jason Bradford Untrauer attended and graduated from University Of Connecticut School Of Medicine in 2003
NPI Data:
- NPI Number: 1164686648
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 03/29/2018
Medicare PECOS Information:
- PECOS PAC ID: 3577608785
- Enrollment ID: I20100226000393
Medical Identifiers
Medical identifiers for Dr Jason Bradford Untrauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164686648 | NPI | - | NPPES |
| 25465 | Other | NE | NE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 25465 (Nebraska) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 25465 (Nebraska) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Unmc Physicians | 6002728391 | 1312 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jason Bradford Untrauer allows following entities to bill medicare on his behalf.
| Entity Name | Unmc Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417912114
PECOS PAC ID: 6002728391
Enrollment ID: O20031104000664 |
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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 Jason Bradford Untrauer 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 |
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Dr Jason Bradford Untrauer, MD, DDS
988102 Nebraska Medical Ctr,
Omaha, NE 68198-8102
Ph: (402) 559-5999 | Dr Jason Bradford Untrauer, MD, DDS
4014 Leavenworth St,
Omaha, NE 68105-1053
Ph: (402) 559-5999 |
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