Dr Wells S Brockbank, DDS in Spanish Fork, UT - Medicare Dentist Provider

Dr Wells S Brockbank, DDS is a medicare enrolled "Dentist - General Practice" provider in Spanish Fork, Utah. His current practice location is 490 N Main St, Spanish Fork, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 798-9874.

Dr Wells S Brockbank is licensed to practice in Utah (license number 142412) 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 1487752630.

Contact Information

	Dr Wells S Brockbank, DDS
	490 N Main St, Spanish Fork, UT 84660-1440
	(801) 798-9874
	(801) 798-9630

Healthcare Provider's Profile

Full Name	Dr Wells S Brockbank
Gender	Male
Speciality	Dentist - General Practice
Location	490 N Main St, Spanish Fork, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487752630
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7416253422
Enrollment ID: I20160316001899

Medical Identifiers

Medical identifiers for Dr Wells S Brockbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487752630	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	142412 (Utah)	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 Wells S Brockbank 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 Wells S Brockbank, DDS 490 N Main St, Spanish Fork, UT 84660-1440 Ph: (801) 798-9874	Dr Wells S Brockbank, DDS 490 N Main St, Spanish Fork, UT 84660-1440 Ph: (801) 798-9874

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Dentist in Spanish Fork, UT

Aaron Olester Tolman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 675 N 300 W, Spanish Fork, UT 84660 Phone: 801-232-8905
Dr. Ryan Frederick Vanmoorlehem, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 826 N 100 E, Suite 3, Spanish Fork, UT 84660 Phone: 801-504-6070 Fax: 801-504-6068
Ryan Schofield Wing, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 497 N Main St, Spanish Fork, UT 84660 Phone: 801-798-2100 Fax: 801-798-9977
Dr. Cameron Sylvan Buhler, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 63 E 800 N, Spanish Fork, UT 84660 Phone: 801-794-9905 Fax: 801-794-2149
Dr. Aaron David Cloward, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 83 W 900 N, Spanish Fork, UT 84660 Phone: 801-794-1834 Fax: 801-794-2045
Dr. William C Davis, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 665 E 300 S, Spanish Fork, UT 84660 Phone: 801-798-8496 Fax: 801-798-1584
Dr. Bryan Evans Cardon, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 41 E 500 N, Spanish Fork, UT 84660 Phone: 801-504-6295 Fax: 801-504-6548

Dr Wells S Brockbank, DDS - Medicare Dentist in Spanish Fork, UT