Branden Michael Engorn, MD in San Diego, CA - Medicare Undefined Physician Type (specify)

Branden Michael Engorn, MD is a medicare enrolled "Pediatrics - Pediatric Critical Care Medicine" physician in San Diego, California. He graduated from medical school in 2009 and has 15 years of diverse experience with area of expertise as Undefined Physician Type (specify). He is a member of the group practice Anesthesia Service Medical Group and his current practice location is 3626 Ruffin Rd, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (858) 565-9666.

Branden Michael Engorn is licensed to practice in California (license number A147411) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1114160991.

Contact Information

	Branden Michael Engorn, MD
	3626 Ruffin Rd, San Diego, CA 92123-1810
	(858) 565-9666
	(858) 565-9441

Map and Direction

Physician's Profile

Full Name	Branden Michael Engorn
Gender	Male
Speciality	Undefined Physician Type (specify)
Experience	15 Years
Location	3626 Ruffin Rd, San Diego, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Branden Michael Engorn graduated from medical school in 2009

NPI Data:

NPI Number: 1114160991
Provider Enumeration Date: 04/09/2009
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 4789833526
Enrollment ID: I20170922001899

Medical Identifiers

Medical identifiers for Branden Michael Engorn such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114160991	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207LP3000X	Anesthesiology - Pediatric Anesthesiology	A147411 (California)	Secondary
207L00000X	Anesthesiology	A147411 (California)	Secondary
208000000X	Pediatrics	A147411 (California)	Secondary
2080P0203X	Pediatrics - Pediatric Critical Care Medicine	A147411 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesia Service Medical Group	1153223219	237

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. Branden Michael Engorn allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

Entity Name	Anesthesia Service Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053354233 PECOS PAC ID: 1153223219 Enrollment ID: O20040121000450

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. Branden Michael Engorn 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
Branden Michael Engorn, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666	Branden Michael Engorn, MD 3626 Ruffin Rd, San Diego, CA 92123-1810 Ph: (858) 565-9666

Reviews and Comments

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Dr. Crystal Nguyen Le, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3020 Children's Way, Mc 5008, San Diego, CA 92123 Phone: 858-966-5818
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Dr. Adriana Herrera Tremoulet, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Childrens Way, San Diego, CA 92123 Phone: 858-966-7785
Dr. Javier Rodriguez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4060 Fairmount Ave, Pediatrics Department, San Diego, CA 92105 Phone: 619-255-9154 Fax: 619-795-9847
Robert Miller Sheets, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 8110 Birmingham Way, San Diego, CA 92123 Phone: 858-966-8082

Branden Michael Engorn, MD - Medicare Undefined Physician Type (specify) in San Diego, CA