Brandon Edward Tomlin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eureka, California. His current practice location is
2200 Tydd St, Eureka, California. You can reach out to his office (for appointments etc.) via phone at
(707) 441-1624.
Brandon Edward Tomlin is licensed to practice in California (license number 104793) 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 1013234418.
Healthcare Provider's Profile
| Full Name | Brandon Edward Tomlin |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2200 Tydd St, Eureka, 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: 1013234418
- Provider Enumeration Date: 04/23/2010
- Last Update Date: 08/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719338292
- Enrollment ID: I20240109002754
Medical Identifiers
Medical identifiers for Brandon Edward Tomlin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013234418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 104793 (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 Edward Tomlin allows following entities to bill medicare on his behalf.
| Entity Name | Open Door Community Health Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497840656
PECOS PAC ID: 9436067485
Enrollment ID: O20040414000890 |
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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 Edward Tomlin 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 Edward Tomlin, LCSW
1275 8th St,
Arcata, CA 95521-5770
Ph: (707) 826-8633 | Brandon Edward Tomlin, LCSW
2200 Tydd St,
Eureka, CA 95501-1284
Ph: (707) 441-1624 |
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