Brandon Allen, is a medicare enrolled "Social Worker - Clinical" provider in Santa Rosa, California. His current practice location is
144 Stony Point Rd, Santa Rosa, California. You can reach out to his office (for appointments etc.) via phone at
(707) 521-4550.
Brandon Allen is licensed to practice in California (license number 121103) 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 1174936975.
Healthcare Provider's Profile
| Full Name | Brandon Allen |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 144 Stony Point Rd, Santa Rosa, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1174936975
- Provider Enumeration Date: 06/09/2014
- Last Update Date: 07/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7315484904
- Enrollment ID: I20240918003238
Medical Identifiers
Medical identifiers for Brandon Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1174936975 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 121103 (California) | 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. Brandon Allen allows following entities to bill medicare on his behalf.
| Entity Name | Sonoma County Indian Health Project Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265457980
PECOS PAC ID: 2961491238
Enrollment ID: O20040511000955 |
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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. Brandon Allen 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 |
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Brandon Allen,
144 Stony Point Rd,
Santa Rosa, CA 95401-4122
Ph: (707) 521-4550 | Brandon Allen,
144 Stony Point Rd,
Santa Rosa, CA 95401-4122
Ph: (707) 521-4550 |
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