Dr Brian Lee Villanueva, MD is a medicare enrolled "Surgery" physician in Sweetwater, Tennessee. His current practice location is
304 Wright St, Sweetwater, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 213-8593.
Dr Brian Lee Villanueva is licensed to practice in Tennessee (license number MD0000040334) 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 1659568608.
Physician's Profile
| Full Name | Dr Brian Lee Villanueva |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 304 Wright St, Sweetwater, Tennessee |
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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: 1659568608
- Provider Enumeration Date: 10/03/2007
- Last Update Date: 10/29/2009
Medicare PECOS Information:
- PECOS PAC ID: 7810041100
- Enrollment ID: I20150803001597
Medical Identifiers
Medical identifiers for Dr Brian Lee Villanueva such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1659568608 | NPI | - | NPPES |
| MD0000040334 | Other | TN | MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | MD0000040334 (Tennessee) | 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 Brian Lee Villanueva 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 Lee Villanueva, MD
144 Autumn Woods Drive,
Sweetwater, TN 37874
Ph: (423) 351-7949 | Dr Brian Lee Villanueva, MD
304 Wright St,
Sweetwater, TN 37874-1181
Ph: (865) 213-8593 |
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