Dr Jason Bradford Untrauer, MD, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Omaha, Nebraska. 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 | |
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| Experience | 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 in
NPI Data:
- NPI Number: 1164686648
- Provider Enumeration Date: 07/15/2008
- Last Update Date: 03/29/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
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 |
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 |
|---|
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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