Brandon Jared Rennie, EDS, PLMHP is a medicare enrolled "Psychologist" provider in Albuquerque, New Mexico. His current practice location is
2300 Menaul Blvd Ne, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at
(505) 273-1213.
Brandon Jared Rennie is licensed to practice in New Mexico (license number 1462) 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 1205233640.
Healthcare Provider's Profile
Full Name | Brandon Jared Rennie |
---|
Gender | Male |
---|
Speciality | Psychologist |
---|
Location | 2300 Menaul Blvd Ne, Albuquerque, New Mexico |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1205233640
- Provider Enumeration Date: 12/01/2014
- Last Update Date: 10/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577829845
- Enrollment ID: I20171115002083
Medical Identifiers
Medical identifiers for Brandon Jared Rennie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205233640 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 10409 (Nebraska) | Secondary |
103T00000X | Psychologist | 1462 (New Mexico) | 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 Jared Rennie allows following entities to bill medicare on his behalf.
Entity Name | Unm Medical Group Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1831218627 PECOS PAC ID: 4981795267 Enrollment ID: O20070801000589 |
---|
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 Jared Rennie 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 |
Brandon Jared Rennie, EDS, PLMHP 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Brandon Jared Rennie, EDS, PLMHP 2300 Menaul Blvd Ne, Albuquerque, NM 87107-1851 Ph: (505) 273-1213 |
Reviews and Comments