Brandon Michael Haynes, MD | |
1127 Wilshire Blvd Ste 805, Los Angeles, CA 90017-3909 | |
(213) 977-1176 | |
(213) 977-0668 |
Full Name | Brandon Michael Haynes |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 13 Years |
Location | 1127 Wilshire Blvd Ste 805, Los Angeles, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679872238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | MD 60491830 (Washington) | Secondary |
208800000X | Urology | 3031-320 (Wisconsin) | Secondary |
208800000X | Urology | A147715 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amery Hospital & Clinic | Amery, WI | Hospital |
Lakeview Memorial Hospital | Stillwater, MN | Hospital |
Hudson Hospital | Hudson, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Healthpartners Medical Group | 1759293954 | 1429 |
Healthpartners Medical Group | 1759293954 | 1429 |
Amery Regional Medical Center Inc | 2769391960 | 101 |
Entity Name | Group Health Plan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417 |
Mailing Address | Practice Location Address |
---|---|
Brandon Michael Haynes, MD 801 S. Main St., Suite 201, Corona, CA 92882 Ph: () - | Brandon Michael Haynes, MD 1127 Wilshire Blvd Ste 805, Los Angeles, CA 90017-3909 Ph: (213) 977-1176 |
Dr. Saum Bobak Ghodoussipour, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1516 San Pablo St Fl 5, Los Angeles, CA 90033 Phone: 323-865-3700 | |
Victor Nitti, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-794-0211 | |
Dr. Carol Joan Bennett, M.D. Urology Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd # 10h2, Los Angeles, CA 90073 Phone: 310-478-3711 Fax: 310-268-4967 | |
Arie Belldegrun, MD Urology Medicare: Medicare Enrolled Practice Location: 200 Medical Plz, Suite 140, Los Angeles, CA 90095 Phone: 310-794-7700 Fax: 310-301-8751 | |
Dr. Stuart Holden, Urology Medicare: Accepting Medicare Assignments Practice Location: 200 Ucla Medical Plz Ste 140, Los Angeles, CA 90095 Phone: 310-825-1172 Fax: 310-794-0987 | |
Jay J Stein, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 8635 W 3rd St, Suite 460w, Los Angeles, CA 90048 Phone: 310-652-8810 Fax: 310-652-0334 | |
Dr. Philip Werthman, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 907, Los Angeles, CA 90067 Phone: 310-277-2873 Fax: 310-286-2139 |