Brandon Edward Wooldridge, is a medicare enrolled "Physician Assistant" in Goode, Virginia. His current practice location is
1193 Market Dr, Goode, Virginia. You can reach out to his office (for appointments etc.) via phone at
(434) 401-2196.
Brandon Edward Wooldridge is licensed to practice in Virginia (license number 0110009594) 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 1497441430.
Provider's Profile
Full Name | Brandon Edward Wooldridge |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 1193 Market Dr, Goode, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497441430
- Provider Enumeration Date: 04/13/2023
- Last Update Date: 09/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991152621
- Enrollment ID: I20231116003135
Medical Identifiers
Medical identifiers for Brandon Edward Wooldridge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497441430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0110009594 (Virginia) | 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. Brandon Edward Wooldridge 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 |
Brandon Edward Wooldridge, 1193 Market Dr, Goode, VA 24556-2708 Ph: (434) 401-2196 | Brandon Edward Wooldridge, 1193 Market Dr, Goode, VA 24556-2708 Ph: (434) 401-2196 |
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