Dr Brian B Bruggeman, MD - Medicare Plastic Surgery in Peoria, AZ

Dr Brian B Bruggeman, MD is a medicare enrolled "Plastic Surgery" physician in Peoria, Arizona. His current practice location is 14155 N. 83rd Ave, Suite 147, Peoria, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 230-2200.

Dr Brian B Bruggeman is licensed to practice in Arizona (license number 31346) 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 1356344626.

Contact Information

Dr Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381
(623) 230-2200
(208) 535-4564



Physician's Profile

Full NameDr Brian B Bruggeman
GenderMale
SpecialityPlastic Surgery
Location14155 N. 83rd Ave, Peoria, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356344626
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 02/27/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6305937392
  • Enrollment ID: I20070806000364

Medical Identifiers

Medical identifiers for Dr Brian B Bruggeman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356344626NPI-NPPES
784422MedicaidAZ
P784422MedicaidAZ
1023267895MedicaidWY
18032746OtherAZSTATE COMP FUND AZ
1023267895MedicaidID
8640234OtherAZCIGNA
1023267895MedicaidMT
31346OtherAZSTATE LICENSE AZ
POOOO4401OtherAZRAILROAD MEDICARE
808217900MedicaidID
8607474153011OtherAZTAX ID
AZ0734420OtherAZBLUE CROSS BLUE SHIELD AZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 101550 (Wisconsin)Secondary
208200000XPlastic Surgery M10264 (Idaho)Secondary
208200000XPlastic Surgery 22884 (New Hampshire)Secondary
208200000XPlastic Surgery 31346 (Arizona)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Brian B Bruggeman allows following entities to bill medicare on his behalf.
Entity NamePlastic Surgeons Of Northern Arizona, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871531418
PECOS PAC ID: 8224922182
Enrollment ID: O20040211000614

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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 Brian B Bruggeman 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 Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381

Ph: (602) 230-2200
Dr Brian B Bruggeman, MD
14155 N. 83rd Ave, Suite 147,
Peoria, AZ 85381

Ph: (623) 230-2200

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Plastic Surgery Doctors in Peoria, AZ

Dr. Jason D Johnson, D.O.
Plastic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 15396 N 83rd Ave Ste B100, Peoria, AZ 85381
Phone: 602-610-2999    Fax: 623-321-7821

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