Dr Jessica Alanna Scully Brunworth, DDS, MS in Washington, MO

Dr Jessica Alanna Scully Brunworth, DDS, MS is a medicare enrolled "Dentist - Periodontics" provider in Washington, Missouri. Her current practice location is 1351 Jefferson St Ste 202, Washington, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 884-0478.

Dr Jessica Alanna Scully Brunworth is licensed to practice in Missouri (license number 2015023903) 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 1912383217.

Contact Information

	Dr Jessica Alanna Scully Brunworth, DDS, MS
	1351 Jefferson St Ste 202, Washington, MO 63090-6449
	(314) 884-0478
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jessica Alanna Scully Brunworth
Gender	Female
Speciality	Dentist - Periodontics
Location	1351 Jefferson St Ste 202, Washington, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912383217
Provider Enumeration Date: 08/10/2015
Last Update Date: 11/12/2018

Medicare PECOS Information:

PECOS PAC ID: 6406100460
Enrollment ID: I20181112000948

Medical Identifiers

Medical identifiers for Dr Jessica Alanna Scully Brunworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912383217	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2015023903 (Missouri)	Secondary
1223P0300X	Dentist - Periodontics	2015023903 (Missouri)	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 Alanna Scully Brunworth 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 Alanna Scully Brunworth, DDS, MS 1351 Jefferson St Ste 202, Washington, MO 63090-6449 Ph: (314) 884-0478	Dr Jessica Alanna Scully Brunworth, DDS, MS 1351 Jefferson St Ste 202, Washington, MO 63090-6449 Ph: (314) 884-0478

Reviews and Comments

Dentist in Washington, MO

Darrell W Lewis, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 Elm St, Washington, MO 63090 Phone: 636-239-2804 Fax: 636-239-9660
Dr. Jon Patrick Lebsack, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 851 E 5th St, Ste. 320, Washington, MO 63090 Phone: 636-239-7150
Mrs. Jamie Ranae Mangels, Dentist Medicare: Not Enrolled in Medicare Practice Location: 709 Jefferson St, Washington, MO 63090 Phone: 636-239-2316 Fax: 636-239-3316
Daniel Gerard Walde, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1201 Jefferson St, Suite 220, Washington, MO 63090 Phone: 636-390-0005 Fax: 636-390-0001
Joseph M Laventure, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 416 Elm St, Washington, MO 63090 Phone: 636-239-2804 Fax: 636-239-9660
Aruna Rajagopalan Astuto, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E 6th St, Washington, MO 63090 Phone: 636-239-6328 Fax: 636-239-5048
Dr. Kaitlyn Bumberry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1111 E 6th St, Washington, MO 63090 Phone: 636-239-6328

Dr Jessica Alanna Scully Brunworth, DDS, MS - Medicare Dentist in Washington, MO