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Brett J Walcott

Dentist

Dental Providers

1910 Packard St, Ann Arbor, MI 48104-4734

PECOS Enrollment

This provider is enrolled in PECOS as BRETT WALCOTT.

Based on the most recent information from CMS, provider Brett J Walcott is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1366633976
Provider Type
Individual
Full Name
Walcott, Brett J
Title
Dr.
Credential
D.D.S.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/8/2007
Last Updated
8/19/2013

Contact Information

Practice Location

1910 Packard St, Ann Arbor, MI 48104-4734

(734) 994-3700

Unlisted Fax

Mailing Location

1910 Packard St, Ann Arbor, MI 48104-4734

(734) 994-3700

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 2901019587 Michigan

Brett J Walcott

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Shannon Norman-Kotre, Dds, Pllc

Moeller, P.C.

Arbor Dental, Pc

Bloomfield, Gary Brian

Bowles, Arthur Jr. Gilbert

Lee, Carter Conrad

Embree Dentistry

Shoukr, Sarah Shoukry

Westfall, Alizia D

Valentine, Anthony Edward