Brian Wallace Dorman, MD is a medicare enrolled "Urology" physician in Eureka, California. He went to University Of California, San Francisco School Of Medicine and graduated in 1971 and has 53 years of diverse experience with area of expertise as Urology. He is a member of the group practice Providence Medical Foundation and his current practice location is
2576 Renfren Street, Eureka, California. You can reach out to his office (for appointments etc.) via phone at
(707) 445-3257.
Brian Wallace Dorman is licensed to practice in California (license number G24506) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447278122.
Physician's Profile
Full Name | Brian Wallace Dorman |
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Gender | Male |
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Speciality | Urology |
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Experience | 53 Years |
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Location | 2576 Renfren Street, Eureka, California |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Brian Wallace Dorman attended and graduated from University Of California, San Francisco School Of Medicine in 1971
NPI Data:
- NPI Number: 1447278122
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 10/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 1153492814
- Enrollment ID: I20080624000496
Medical Identifiers
Medical identifiers for Brian Wallace Dorman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1447278122 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208800000X | Urology | G24506 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Providence Medical Foundation | 8921993205 | 1312 |
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. Brian Wallace Dorman allows following entities to bill medicare on his behalf.
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
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Entity Name | Telemedicine Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326338237 PECOS PAC ID: 9830351824 Enrollment ID: O20120509000349 |
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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. Brian Wallace Dorman 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 |
Brian Wallace Dorman, MD 2576 Renfren Street, Eureka, CA 95501 Ph: (707) 445-3257 | Brian Wallace Dorman, MD 2576 Renfren Street, Eureka, CA 95501 Ph: (707) 445-3257 |
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