Dr Brian B Bruggeman, MD is a medicare enrolled "Plastic Surgery" physician in Peoria, Arizona. His current practice location is
14155 N. 83rd Ave, Suite 147, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 230-2200.
Dr Brian B Bruggeman is licensed to practice in Arizona (license number 31346) 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 1356344626.
Physician's Profile
| Full Name | Dr Brian B Bruggeman |
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| Gender | Male |
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| Speciality | Plastic Surgery |
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| Location | 14155 N. 83rd Ave, Peoria, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356344626
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 06/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6305937392
- Enrollment ID: I20070806000364
Medical Identifiers
Medical identifiers for Dr Brian B Bruggeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356344626 | NPI | - | NPPES |
| 808217900 | Medicaid | ID | |
| 1023267895 | Medicaid | MT | |
| 1023267895 | Medicaid | WY | |
| 31346 | Other | AZ | STATE LICENSE AZ |
| POOOO4401 | Other | AZ | RAILROAD MEDICARE |
| 18032746 | Other | AZ | STATE COMP FUND AZ |
| AZ0734420 | Other | AZ | BLUE CROSS BLUE SHIELD AZ |
| P784422 | Medicaid | AZ | |
| 1023267895 | Medicaid | ID | |
| 8607474153011 | Other | AZ | TAX ID |
| 8640234 | Other | AZ | CIGNA |
| 784422 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 101550 (Wisconsin) | Secondary |
| 208200000X | Plastic Surgery | M10264 (Idaho) | Secondary |
| 208200000X | Plastic Surgery | 22884 (New Hampshire) | Secondary |
| 208200000X | Plastic Surgery | 31346 (Arizona) | 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. Dr Brian B Bruggeman allows following entities to bill medicare on his behalf.
| Entity Name | Plastic Surgeons Of Northern Arizona, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871531418
PECOS PAC ID: 8224922182
Enrollment ID: O20040211000614 |
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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 Brian B Bruggeman 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 |
|---|
Dr Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381
Ph: (602) 230-2200 | Dr Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381
Ph: (623) 230-2200 |
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