Brian Alan Mabry, BRIAN MABRY is a medicare enrolled "Physician Assistant - Medical" in Pomeroy, Washington. His current practice location is
66 N 6th St, Pomeroy, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 843-1591.
Brian Alan Mabry is licensed to practice in Ohio (license number 50.003623) 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 1427300052.
Provider's Profile
Full Name | Brian Alan Mabry |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 66 N 6th St, Pomeroy, Washington |
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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: 1427300052
- Provider Enumeration Date: 10/05/2012
- Last Update Date: 05/06/2016
Medicare PECOS Information:
- PECOS PAC ID: 0941439327
- Enrollment ID: I20150930000702
Medical Identifiers
Medical identifiers for Brian Alan Mabry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427300052 | NPI | - | NPPES |
20358733200 | Other | OH | BWC GROUP |
2630700 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 50.003623 (Ohio) | Primary |
363A00000X | Physician Assistant | PA60564965 (Washington) | Secondary |
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. Brian Alan Mabry 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 |
Brian Alan Mabry, BRIAN MABRY 66 N 6th St, Pomeroy, WA 99347-9705 Ph: (509) 843-1591 | Brian Alan Mabry, BRIAN MABRY 66 N 6th St, Pomeroy, WA 99347-9705 Ph: (509) 843-1591 |
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