Dr Ryan Brant Munden, DDS in Bloomfield, IN - Medicare Dentist Provider

Dr Ryan Brant Munden, DDS is a medicare enrolled "Dentist - General Practice" provider in Bloomfield, Indiana. His current practice location is 124 E Indiana Ave, Bloomfield, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 384-4191.

Dr Ryan Brant Munden is licensed to practice in Indiana (license number 12011326A) 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 1083947691.

Contact Information

	Dr Ryan Brant Munden, DDS
	124 E Indiana Ave, Bloomfield, IN 47424-1045
	(812) 384-4191
	(812) 384-4191

Healthcare Provider's Profile

Full Name	Dr Ryan Brant Munden
Gender	Male
Speciality	Dentist - General Practice
Location	124 E Indiana Ave, Bloomfield, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083947691
Provider Enumeration Date: 09/14/2009
Last Update Date: 09/14/2009

Medicare PECOS Information:

PECOS PAC ID: 5799095279
Enrollment ID: I20151112002890

Medical Identifiers

Medical identifiers for Dr Ryan Brant Munden such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083947691	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12011326A (Indiana)	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 Ryan Brant Munden 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 Ryan Brant Munden, DDS 124 E Indiana Ave, Bloomfield, IN 47424-1045 Ph: (812) 384-4191	Dr Ryan Brant Munden, DDS 124 E Indiana Ave, Bloomfield, IN 47424-1045 Ph: (812) 384-4191

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Dentist in Bloomfield, IN

Dr. Ronald Jay Munden, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 124 E Indiana Ave, Bloomfield, IN 47424 Phone: 812-384-4191 Fax: 812-384-4191
James C Vandeventer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 E Main St, Ste.3, Bloomfield, IN 47424 Phone: 812-384-3736

Dr Ryan Brant Munden, DDS - Medicare Dentist in Bloomfield, IN