William Jacob Brown, DDS is a medicare enrolled "Dentist" provider in Dove Creek, Colorado. His current practice location is
495 W 4th St, Dove Creek, Colorado. You can reach out to his office (for appointments etc.) via phone at
(970) 677-2291.
William Jacob Brown is licensed to practice in Colorado (license number 00204404) 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 1801404256.
Healthcare Provider's Profile
Full Name | William Jacob Brown |
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Gender | Male |
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Speciality | Dentist |
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Location | 495 W 4th St, Dove Creek, Colorado |
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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: 1801404256
- Provider Enumeration Date: 07/21/2020
- Last Update Date: 07/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749659027
- Enrollment ID: I20221208000630
Medical Identifiers
Medical identifiers for William Jacob Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801404256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 00204404 (Colorado) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. William Jacob Brown allows following entities to bill medicare on his behalf.
Entity Name | Southwest Colorado Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932192598 PECOS PAC ID: 9133011802 Enrollment ID: O20040326001177 |
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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. William Jacob Brown 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 |
William Jacob Brown, DDS Po Box 1328, Durango, CO 81302-1328 Ph: (970) 335-2422 | William Jacob Brown, DDS 495 W 4th St, Dove Creek, CO 81324-4900 Ph: (970) 677-2291 |
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