Dr Jessica Dominique Bruce, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Chester, Connecticut. Her current practice location is
29 Bokum Rd, Chester, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 559-9146.
Dr Jessica Dominique Bruce is licensed to practice in Connecticut (license number 11701) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639585821.
Healthcare Provider's Profile
Full Name | Dr Jessica Dominique Bruce |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 29 Bokum Rd, Chester, Connecticut |
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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: 1639585821
- Provider Enumeration Date: 07/08/2014
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 8224335146
- Enrollment ID: I20160321001349
Medical Identifiers
Medical identifiers for Dr Jessica Dominique Bruce such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639585821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2.011701 (Connecticut) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 11701 (Connecticut) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 11701 (Connecticut) | 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 Jessica Dominique Bruce 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 Jessica Dominique Bruce, DMD 29 Bokum Rd, Chester, CT 06412-1339 Ph: (860) 559-9146 | Dr Jessica Dominique Bruce, DMD 29 Bokum Rd, Chester, CT 06412-1339 Ph: (860) 559-9146 |
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