Brandon Eugene Bireley, DO is a medicare enrolled "Surgery" physician in Fortuna, California. He graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Providence Medical Foundation and his current practice location is
3307 Renner Dr, Fortuna, California. You can reach out to his office (for appointments etc.) via phone at
(707) 725-7390.
Brandon Eugene Bireley is licensed to practice in California (license number 20A16540) 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 1407296064.
Physician's Profile
| Full Name | Brandon Eugene Bireley |
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| Gender | Male |
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| Speciality | General Surgery |
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| Experience | 11 Years |
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| Location | 3307 Renner Dr, Fortuna, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brandon Eugene Bireley graduated from medical school in 2013
NPI Data:
- NPI Number: 1407296064
- Provider Enumeration Date: 06/27/2013
- Last Update Date: 10/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517216690
- Enrollment ID: I20180822003337
Medical Identifiers
Medical identifiers for Brandon Eugene Bireley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407296064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 5101020721 (Michigan) | Secondary |
| 208600000X | Surgery | 20A16540 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Providence Medical Foundation | 8921993205 | 1312 |
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 Eugene Bireley allows following entities to bill medicare on his behalf.
| Entity Name | Providence Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285890624
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346 |
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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. Brandon Eugene Bireley 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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Brandon Eugene Bireley, DO
3307 Renner Dr,
Fortuna, CA 95540-3119
Ph: () - | Brandon Eugene Bireley, DO
3307 Renner Dr,
Fortuna, CA 95540-3119
Ph: (707) 725-7390 |
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