Gary Bryan, is a medicare enrolled "Dentist" provider in Wanchese, North Carolina. His current practice location is
2038 Nc 345 Highway Sout, Wanchese, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 473-5774.
Gary Bryan is licensed to practice in North Carolina (license number 5269) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275930091.
Healthcare Provider's Profile
Full Name | Gary Bryan |
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Gender | Male |
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Speciality | Dentist |
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Location | 2038 Nc 345 Highway Sout, Wanchese, North Carolina |
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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: 1275930091
- Provider Enumeration Date: 11/21/2014
- Last Update Date: 11/21/2014
Medicare PECOS Information:
- PECOS PAC ID: 9234420324
- Enrollment ID: I20160621000993
Medical Identifiers
Medical identifiers for Gary Bryan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275930091 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5269 (North Carolina) | 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. Gary Bryan 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 |
Gary Bryan, Po Box 2059, Manteo, NC 27954-2059 Ph: (252) 473-5774 | Gary Bryan, 2038 Nc 345 Highway Sout, Wanchese, NC 27981 Ph: (252) 473-5774 |
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