Mr Brenton Dulak, PA-C is a medicare enrolled "Physician Assistant" in Orting, Washington. His current practice location is
215 Whitesell St Nw Ste B113, Orting, Washington. You can reach out to his office (for appointments etc.) via phone at
(253) 697-3080.
Mr Brenton Dulak is licensed to practice in * (Not Available) (license number ) 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 1841748043.
Provider's Profile
Full Name | Mr Brenton Dulak |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 215 Whitesell St Nw Ste B113, Orting, 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: 1841748043
- Provider Enumeration Date: 09/15/2016
- Last Update Date: 03/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012277254
- Enrollment ID: I20190408001594
Medical Identifiers
Medical identifiers for Mr Brenton Dulak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841748043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Mr Brenton Dulak 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 |
Mr Brenton Dulak, PA-C 1944 Pacific Ave Apt 812, Tacoma, WA 98402-3128 Ph: (253) 666-5125 | Mr Brenton Dulak, PA-C 215 Whitesell St Nw Ste B113, Orting, WA 98360-9363 Ph: (253) 697-3080 |
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