Dr Brent A Zamzow, DO is a medicare enrolled "Urology" physician in Dyersburg, Tennessee. He went to Michigan State University College Of Human Medicine and graduated in 2003 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Wt Medical Associates and his current practice location is
1718 Parr Ave Ste A, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 285-4104.
Dr Brent A Zamzow is licensed to practice in Tennessee (license number 2288) 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 1962548149.
Physician's Profile
| Full Name | Dr Brent A Zamzow |
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| Gender | Male |
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| Speciality | Urology |
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| Experience | 22 Years |
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| Location | 1718 Parr Ave Ste A, Dyersburg, Tennessee |
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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. |
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Medical Education and Training:
- Dr Brent A Zamzow attended and graduated from Michigan State University College Of Human Medicine in 2003
NPI Data:
- NPI Number: 1962548149
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0749451581
- Enrollment ID: I20110927000496
Medical Identifiers
Medical identifiers for Dr Brent A Zamzow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962548149 | NPI | - | NPPES |
| 1525535 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208800000X | Urology | 2288 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wt Medical Associates | 1951650613 | 52 |
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. Dr Brent A Zamzow allows following entities to bill medicare on his behalf.
| Entity Name | Wt Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295223279
PECOS PAC ID: 1951650613
Enrollment ID: O20180814002772 |
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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. Dr Brent A Zamzow 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 |
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Dr Brent A Zamzow, DO
Po Box 689022,
Franklin, TN 37068-9022
Ph: (615) 465-3266 | Dr Brent A Zamzow, DO
1718 Parr Ave Ste A,
Dyersburg, TN 38024-2075
Ph: (731) 285-4104 |
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