Dr Mathijs Henri Brentjens, MD is a medicare enrolled "Dermatology" physician in Edenton, North Carolina. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Eastern Dermatology Pa and his current practice location is
222 Virginia Rd, Edenton, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 752-4124.
Dr Mathijs Henri Brentjens is licensed to practice in North Carolina (license number 200500012) 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 1417966409.
Physician's Profile
| Full Name | Dr Mathijs Henri Brentjens |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 24 Years |
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| Location | 222 Virginia Rd, Edenton, North Carolina |
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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 Mathijs Henri Brentjens attended and graduated from State University Of New York At Buffalo School Of Medicine in 2000
NPI Data:
- NPI Number: 1417966409
- Provider Enumeration Date: 08/07/2006
- Last Update Date: 04/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 4789614512
- Enrollment ID: I20050822000175
Medical Identifiers
Medical identifiers for Dr Mathijs Henri Brentjens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417966409 | NPI | - | NPPES |
| P00234813 | Other | NC | RAILROAD MEDICARE |
| 5902501 | Medicaid | NC | |
| 140T2 | Other | NC | BLUE CROSS BLUE SHIELD NC |
| 8899677 | Other | NC | CIGNA HEALTLHCARE NC |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 200500012 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eastern Dermatology Pa | 2860478542 | 19 |
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 Mathijs Henri Brentjens allows following entities to bill medicare on his behalf.
| Entity Name | Eastern Dermatology Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598759482
PECOS PAC ID: 2860478542
Enrollment ID: O20040624001141 |
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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 Mathijs Henri Brentjens 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 Mathijs Henri Brentjens, MD
420 Spring Forest Rd,
Greenville, NC 27834-7244
Ph: (252) 752-4124 | Dr Mathijs Henri Brentjens, MD
222 Virginia Rd,
Edenton, NC 27932-9667
Ph: (252) 752-4124 |
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