Dr Brenna Eileen Coolbaugh, DMD in Norwalk, CA

Dr Brenna Eileen Coolbaugh, DMD is a medicare enrolled "Dentist - General Practice" provider in Norwalk, California. Her current practice location is 12501 Norwalk Blvd, Norwalk, California. You can reach out to her office (for appointments etc.) via phone at (562) 929-0880.

Dr Brenna Eileen Coolbaugh is licensed to practice in California (license number 107653) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811450943.

Contact Information

	Dr Brenna Eileen Coolbaugh, DMD
	12501 Norwalk Blvd, Norwalk, CA 90650-2042
	(562) 929-0880
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Brenna Eileen Coolbaugh
Gender	Female
Speciality	Dentist - General Practice
Location	12501 Norwalk Blvd, Norwalk, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811450943
Provider Enumeration Date: 04/06/2019
Last Update Date: 01/22/2023

Medicare PECOS Information:

PECOS PAC ID: 8325486269
Enrollment ID: I20240410003528

Medical Identifiers

Medical identifiers for Dr Brenna Eileen Coolbaugh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811450943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	DS042581 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223G0001X	Dentist - General Practice	107653 (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. Dr Brenna Eileen Coolbaugh allows following entities to bill medicare on her behalf.

Entity Name	S Parham A Prof Dental Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275727786 PECOS PAC ID: 8628343027 Enrollment ID: O20171011002519

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 Brenna Eileen Coolbaugh 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
Dr Brenna Eileen Coolbaugh, DMD 198 Garden Gate Ln, Irvine, CA 92620-0257 Ph: (919) 604-7293	Dr Brenna Eileen Coolbaugh, DMD 12501 Norwalk Blvd, Norwalk, CA 90650-2042 Ph: (562) 929-0880

Reviews and Comments

Dentist in Norwalk, CA

Dr. Anat Tadir, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 13926 San Antonio Dr, Norwalk, CA 90650 Phone: 949-933-7594
Sung Min Lim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12065 Orange St, Norwalk, CA 90650 Phone: 562-584-4288 Fax: 562-584-4488
Andrew Ayoub Binafard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 14034 Pioneer Blvd, Norwalk, CA 90650 Phone: 562-684-6179
Dr. Regina Isabel De La Cruz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12360 Firestone Blvd, Norwalk, CA 90650 Phone: 866-733-5924
Don Quang Vu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11481 Rosecrans Ave, Norwalk, CA 90650 Phone: 562-863-3457
Douglas Nguyen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13828 Pioneer Blvd, Norwalk, CA 90650 Phone: 562-863-7253
Maria Clara Magnampo Torres, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10973 Rosecrans Ave, Norwalk, CA 90650 Phone: 562-462-9120

Dr Brenna Eileen Coolbaugh, DMD - Medicare Dentist in Norwalk, CA