Peter Weisbruch, DDS in Port Orange, FL - Medicare Dentist Provider

Peter Weisbruch, DDS is a medicare enrolled "Dentist - General Practice" provider in Port Orange, Florida. His current practice location is 6495 Longlake Drive, Port Orange, Florida. You can reach out to his office (for appointments etc.) via phone at (386) 290-0774.

Peter Weisbruch is licensed to practice in Florida (license number 9352) 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 1295886760.

Contact Information

	Peter Weisbruch, DDS
	6495 Longlake Drive, Port Orange, FL 32128
	(386) 290-0774
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Weisbruch
Gender	Male
Speciality	Dentist - General Practice
Location	6495 Longlake Drive, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295886760
Provider Enumeration Date: 01/13/2007
Last Update Date: 12/18/2023

Medicare PECOS Information:

PECOS PAC ID: 5294194270
Enrollment ID: I20230710000240

Medical Identifiers

Medical identifiers for Peter Weisbruch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295886760	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	9352 (Florida)	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. Peter Weisbruch 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
Peter Weisbruch, DDS 6495 Longlake Drive, Port Orange, FL 32128 Ph: (386) 290-0774	Peter Weisbruch, DDS 6495 Longlake Drive, Port Orange, FL 32128 Ph: (386) 290-0774

Reviews and Comments

Dentist in Port Orange, FL

Phillip Jeffery Kelemen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5913 Plainview Dr, Port Orange, FL 32127 Phone: 386-882-3139
Dr. Larissa W Hanson, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3777 S Ridgewood Ave, Port Orange, FL 32129 Phone: 386-760-1200
Dr. Pantea Tavakoli-khazraee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallow Tail Dr, Suite 103, Port Orange, FL 32129 Phone: 386-788-5000 Fax: 386-788-5001
Dr. Estefany Montana, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1812 Dunlawton Ave Ste 101, Port Orange, FL 32127 Phone: 386-233-3040
Dr. Nelly Guirgis Haddad, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3755a S Nova Rd, Port Orange, FL 32129 Phone: 386-788-9620
Dr. Patrick Williams, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 731 Dunlawton Ave, Ste. # 102, Port Orange, FL 32127 Phone: 386-767-6636 Fax: 386-767-5879
Dr. Ernesto I Torres, DMD Dentist Medicare: Medicare Enrolled Practice Location: 900 N Swallowtail Dr, Suite 103, Port Orange, FL 32129 Phone: 386-788-5000 Fax: 386-788-5001

Peter Weisbruch, DDS - Medicare Dentist in Port Orange, FL