Brandon R Jolley, DDS in Bangor, ME - Medicare Dentist Provider

Brandon R Jolley, DDS is a medicare enrolled "Dentist" provider in Bangor, Maine. His current practice location is 1048 Union St, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 404-8200.

Brandon R Jolley is licensed to practice in Maine (license number DEN4586) 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 1366995284.

Contact Information

	Brandon R Jolley, DDS
	1048 Union St, Bangor, ME 04401-3016
	(207) 404-8200
	(207) 947-0435

Healthcare Provider's Profile

Full Name	Brandon R Jolley
Gender	Male
Speciality	Dentist
Location	1048 Union St, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366995284
Provider Enumeration Date: 07/27/2016
Last Update Date: 11/03/2021

Medicare PECOS Information:

PECOS PAC ID: 4385931393
Enrollment ID: I20170721002862

Medical Identifiers

Medical identifiers for Brandon R Jolley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366995284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DEN4586 (Maine)	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 R Jolley 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 R Jolley, DDS Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8200	Brandon R Jolley, DDS 1048 Union St, Bangor, ME 04401-3016 Ph: (207) 404-8200

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Dentist in Bangor, ME

Dr. David Christopher Haluska, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12 Stillwater Ave, Ste 6, Bangor, ME 04401 Phone: 207-941-6550 Fax: 207-973-5932
Dr. Arlene A Asante, Dentist Medicare: Medicare Enrolled Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-992-2152 Fax: 207-947-0435
Spencer Valley, Dentist Medicare: Not Enrolled in Medicare Practice Location: 62 Corporate Dr, Bangor, ME 04401 Phone: 207-947-7503
Mark Edward Eggleton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 Hammond St, Bangor, ME 04401 Phone: 207-945-6493 Fax: 207-947-6003
Edward R Zanca, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-992-2152 Fax: 207-947-0435
Dr. William Alexander Deighan, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 37 Bower St, Bangor, ME 04401 Phone: 207-945-5691
Dr. Louise Desjardins King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 151 State St, Bangor, ME 04401 Phone: 207-945-6036 Fax: 207-942-1548

Brandon R Jolley, DDS - Medicare Dentist in Bangor, ME