Dr Brent Packer, MD is a
General Practice physician based in Lacey, Washington. Dr Brent Packer is licensed to practice in Washington (license number MD00033748) and his current practice location is 4220 Ingleside Dr Se, Lacey, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 456-3429.
NPI number for Dr Brent Packer is 1902959018 and his current mailing address is 4220 Ingleside Dr Se, Lacey, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1902959018.
Physician's Profile
| Full Name | Dr Brent Packer |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 4220 Ingleside Dr Se, Lacey, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1902959018
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Brent Packer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902959018 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | MD00033748 (Washington) | 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. Dr Brent Packer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Brent Packer, MD
4220 Ingleside Dr Se,
Lacey, WA 98503-2108
Ph: (360) 456-3429 | Dr Brent Packer, MD
4220 Ingleside Dr Se,
Lacey, WA 98503-2108
Ph: (360) 456-3429 |
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