Dr Brian J Supple, MD is a medicare enrolled "Surgery" physician in Newbury Park, California. He went to University Of Vermont College Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Acute Care Surgery Medical Group Inc and his current practice location is
1000 Newbury Rd Ste 285, Newbury Park, California. You can reach out to his office (for appointments etc.) via phone at
(805) 499-7971.
Dr Brian J Supple is licensed to practice in California (license number AO69956) 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 1467581751.
Physician's Profile
Full Name | Dr Brian J Supple |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 30 Years |
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Location | 1000 Newbury Rd Ste 285, Newbury Park, 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:
- Dr Brian J Supple attended and graduated from University Of Vermont College Of Medicine in 1994
NPI Data:
- NPI Number: 1467581751
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315990728
- Enrollment ID: I20050225000275
Medical Identifiers
Medical identifiers for Dr Brian J Supple such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467581751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | AO69956 (California) | Primary |
Medical Facilities Affiliation
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 J Supple allows following entities to bill medicare on his behalf.
Entity Name | Acute Care Surgery Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700069549 PECOS PAC ID: 7214006816 Enrollment ID: O20080522000355 |
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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 J Supple 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 J Supple, MD 1000 Newbury Rd Ste 285, Newbury Park, CA 91320-6445 Ph: (805) 499-7971 | Dr Brian J Supple, MD 1000 Newbury Rd Ste 285, Newbury Park, CA 91320-6445 Ph: (805) 499-7971 |
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