Dr Bryant Priromprintr, MD in Fremont, CA

Dr Bryant Priromprintr, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Fremont, California. His current practice location is 39650 Liberty St, Fremont, California. You can reach out to his office (for appointments etc.) via phone at (844) 928-1872.

Dr Bryant Priromprintr is licensed to practice in California (license number A136711) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912387580.

Contact Information

	Dr Bryant Priromprintr, MD
	39650 Liberty St, Fremont, CA 94538-2223
	(844) 928-1872
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Bryant Priromprintr
Gender	Male
Speciality	Pediatrics - Pediatric Cardiology
Location	39650 Liberty St, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912387580
Provider Enumeration Date: 06/08/2015
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 0345664918
Enrollment ID: I20200716001226

Medical Identifiers

Medical identifiers for Dr Bryant Priromprintr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912387580	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0202X	Pediatrics - Pediatric Cardiology	A136711 (California)	Primary

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 Bryant Priromprintr allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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 Bryant Priromprintr 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 Bryant Priromprintr, MD 325 Distel Cir, Los Altos, CA 94022-1408 Ph: (844) 928-1872	Dr Bryant Priromprintr, MD 39650 Liberty St, Fremont, CA 94538-2223 Ph: (844) 928-1872

Reviews and Comments

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Dr Bryant Priromprintr, MD - Medicare Pediatrics in Fremont, CA