Dr Brian Keith Gamble, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Toluca Lake, California. He went to Meharry Medical College School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as General Practice. His current practice location is
10701 Riverside Dr, Suite 16, Toluca Lake, California. You can reach out to his office (for appointments etc.) via phone at
(818) 985-1221.
Dr Brian Keith Gamble is licensed to practice in California (license number A76121) 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 1568478436.
Physician's Profile
| Full Name | Dr Brian Keith Gamble |
|---|
| Gender | Male |
|---|
| Speciality | General Practice |
|---|
| Experience | 27 Years |
|---|
| Location | 10701 Riverside Dr, Toluca Lake, 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:
- Dr Brian Keith Gamble attended and graduated from Meharry Medical College School Of Medicine in 1997
NPI Data:
- NPI Number: 1568478436
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 12/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 3971597121
- Enrollment ID: I20040413000774
Medical Identifiers
Medical identifiers for Dr Brian Keith Gamble such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1568478436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085U0001X | Radiology - Diagnostic Ultrasound | A76121 (California) | Secondary |
| 207UN0902X | Nuclear Medicine - Nuclear Imaging & Therapy | A76121 (California) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A76121 (California) | Primary |
| 208D00000X | General Practice | A76121 (California) | Secondary |
Medical Facilities Affiliation
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 Brian Keith Gamble allows following entities to bill medicare on his behalf.
| Entity Name | Good Neighbor Clinic A Medical Corporation |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1689073595
PECOS PAC ID: 0941427264
Enrollment ID: O20140811001591 |
|---|
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 Brian Keith Gamble 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 Brian Keith Gamble, MD
10701 Riverside Dr, 16,
Toluca Lake, CA 91602-2384
Ph: (818) 985-1221 | Dr Brian Keith Gamble, MD
10701 Riverside Dr, Suite 16,
Toluca Lake, CA 91602-2384
Ph: (818) 985-1221 |
Reviews and Comments