Dr Brent Gray Woodbury, MD is a medicare enrolled "Orthopaedic Surgery" physician in Fort Madison, Iowa. He went to University Of Kansas School Of Med (kc/wich/sal) and graduated in 2006 and has 18 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Southeast Iowa Regional Medical Center Inc and his current practice location is
5409 Avenue O, Fort Madison, Iowa. You can reach out to his office (for appointments etc.) via phone at
(319) 376-2134.
Dr Brent Gray Woodbury is licensed to practice in Iowa (license number 39649) 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 1558412130.
Physician's Profile
| Full Name | Dr Brent Gray Woodbury |
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| Gender | Male |
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| Speciality | Orthopedic Surgery |
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| Experience | 18 Years |
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| Location | 5409 Avenue O, Fort Madison, Iowa |
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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 Gray Woodbury attended and graduated from University Of Kansas School Of Med (kc/wich/sal) in 2006
NPI Data:
- NPI Number: 1558412130
- Provider Enumeration Date: 01/12/2007
- Last Update Date: 10/06/2011
Medicare PECOS Information:
- PECOS PAC ID: 0840469490
- Enrollment ID: I20110816000445
Medical Identifiers
Medical identifiers for Dr Brent Gray Woodbury such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558412130 | NPI | - | NPPES |
| 1558412130 | Medicaid | IA | |
| 1558412130 | Other | IA | WELLMARK BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207X00000X | Orthopaedic Surgery | 94-06593 (Kansas) | Secondary |
| 207X00000X | Orthopaedic Surgery | 39649 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Iowa Regional Medical Center Inc | 3870496417 | 202 |
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 Gray Woodbury allows following entities to bill medicare on his behalf.
| Entity Name | Southeast Iowa Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164433884
PECOS PAC ID: 3870496417
Enrollment ID: O20040130000139 |
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| Entity Name | Fort Madison Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083764393
PECOS PAC ID: 8729971841
Enrollment ID: O20040203001066 |
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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 Gray Woodbury 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 Gray Woodbury, MD
5409 Avenue O,
Fort Madison, IA 52627-9601
Ph: (319) 376-2134 | Dr Brent Gray Woodbury, MD
5409 Avenue O,
Fort Madison, IA 52627-9601
Ph: (319) 376-2134 |
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