Dr Philip K Brantly, DDS in Goldsboro, NC - Medicare Dentist Provider

Dr Philip K Brantly, DDS is a medicare enrolled "Dentist - General Practice" provider in Goldsboro, North Carolina. His current practice location is 1100 Parkway Dr, Suite A, Goldsboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 751-0711.

Dr Philip K Brantly is licensed to practice in North Carolina (license number 4613) 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 1114112703.

Contact Information

	Dr Philip K Brantly, DDS
	1100 Parkway Dr, Suite A, Goldsboro, NC 27534-3477
	(919) 751-0711
	(919) 751-1248

Healthcare Provider's Profile

Full Name	Dr Philip K Brantly
Gender	Male
Speciality	Dentist - General Practice
Location	1100 Parkway Dr, Goldsboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114112703
Provider Enumeration Date: 09/07/2007
Last Update Date: 09/07/2007

Medicare PECOS Information:

PECOS PAC ID: 5496045296
Enrollment ID: I20160607002023

Medical Identifiers

Medical identifiers for Dr Philip K Brantly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114112703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	4613 (North Carolina)	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 Philip K Brantly 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
Dr Philip K Brantly, DDS 1100 Parkway Dr, Suite A, Goldsboro, NC 27534-3477 Ph: (919) 751-0711	Dr Philip K Brantly, DDS 1100 Parkway Dr, Suite A, Goldsboro, NC 27534-3477 Ph: (919) 751-0711

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Dentist in Goldsboro, NC

Dr. Kendall Ann Mitchell, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 101 Stevens Memorial Pl, Goldsboro, NC 27534 Phone: 919-736-4830 Fax: 919-736-7030
Dr. John E Fidler Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2400 Wayne Memorial Dr, Suite K, Goldsboro, NC 27534 Phone: 919-736-2082 Fax: 919-734-0893
Orlando Richard Stovall, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1504 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-735-3431 Fax: 919-735-3455
Dr. Richard D Kruer Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 Wayne Memorial Dr Ste G, Goldsboro, NC 27534 Phone: 919-581-9770
Dr. Deborah Jolliff Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2300 Wayne Memorial Dr, Suite F, Goldsboro, NC 27534 Phone: 919-734-3564 Fax: 919-734-3797
Dr. Preciosa Calma Seif, DDS Dentist Medicare: Medicare Enrolled Practice Location: 210 Biggs St, Goldsboro, NC 27534 Phone: 919-394-7886
Dr. Carlton Bradley Adams, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 206 W Ash St, Goldsboro, NC 27530 Phone: 919-734-6386 Fax: 919-734-6387

Dr Philip K Brantly, DDS - Medicare Dentist in Goldsboro, NC