Dr Brandon Mark Wagner, DDS - Medicare Dentist in Boise, ID

Dr Brandon Mark Wagner, DDS is a medicare enrolled "Dentist - General Practice" provider in Boise, Idaho. His current practice location is 403 S 11th St Ste 200, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 342-3440.

Dr Brandon Mark Wagner is licensed to practice in Idaho (license number D-5306) 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 1265002901.

Contact Information

Dr Brandon Mark Wagner, DDS
403 S 11th St Ste 200,
Boise, ID 83702-6968
(208) 342-3440
Not Available



Healthcare Provider's Profile

Full NameDr Brandon Mark Wagner
GenderMale
SpecialityDentist - General Practice
Location403 S 11th St Ste 200, Boise, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265002901
  • Provider Enumeration Date: 06/25/2021
  • Last Update Date: 05/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2567868987
  • Enrollment ID: I20210910001375

Medical Identifiers

Medical identifiers for Dr Brandon Mark Wagner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265002901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D-5306 (Idaho)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. Dr Brandon Mark Wagner 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 AddressPractice Location Address
Dr Brandon Mark Wagner, DDS
10926 Ragsdale Rd,
Loma Linda, CA 92354-6546

Ph: (951) 236-0882
Dr Brandon Mark Wagner, DDS
403 S 11th St Ste 200,
Boise, ID 83702-6968

Ph: (208) 342-3440

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› Verified 8 days ago


Dentist in Boise, ID

Dr. Jace C. Hansen, DMD, MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6019 N. Eagle Rd., Boise, ID 83713
Phone: 208-377-2777    Fax: 208-377-3075
Dr. Helen Thu Smith, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8321 W Overland Rd, Boise, ID 83709
Phone: 208-605-3638    
Benjamin A Hulbert, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 9733 W Ustick Rd, Boise, ID 83704
Phone: 208-375-8720    
Hanna Castleberry, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1175 E Parkcenter Blvd, Boise, ID 83706
Phone: 208-888-5544    
Dr. Errol Chandler Fife, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1675 Hill Rd, Boise, ID 83702
Phone: 208-342-3695    Fax: 208-342-4065
Dr. Robert T Peck, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 7480 Northview St, Boise, ID 83704
Phone: 208-322-2727    Fax: 208-375-0225
Mr. John Stanley Kriz, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 7235 Emerald St, Suite B, Boise, ID 83704
Phone: 208-376-7740    Fax: 208-376-0468

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