Denise D Brathwaite, MD is a medicare enrolled "Anesthesiology" physician in San Pedro, California. Her current practice location is
1300 W 7th St, San Pedro, California. You can reach out to her office (for appointments etc.) via phone at
(310) 832-3311.
Denise D Brathwaite is licensed to practice in California (license number G58680) 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 1770524605.
Physician's Profile
| Full Name | Denise D Brathwaite |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 1300 W 7th St, San Pedro, 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: 1770524605
- Provider Enumeration Date: 06/10/2006
- Last Update Date: 06/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 7315921194
- Enrollment ID: I20040617001133
Medical Identifiers
Medical identifiers for Denise D Brathwaite such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770524605 | NPI | - | NPPES |
| 00G586800 | Other | CA | BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207L00000X | Anesthesiology | G58680 (California) | Primary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | G58680 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | G58680 (California) | Secondary |
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. Denise D Brathwaite allows following entities to bill medicare on her behalf.
| Entity Name | County Of Los Angeles |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1780877613
PECOS PAC ID: 1850296534
Enrollment ID: O20090713000358 |
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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. Denise D Brathwaite 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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Denise D Brathwaite, MD
Po Box 3129,
Torrance, CA 90510-3129
Ph: (310) 792-3914 | Denise D Brathwaite, MD
1300 W 7th St,
San Pedro, CA 90732-3505
Ph: (310) 832-3311 |
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