Dr Judith Brandt, DO, FAAFP is a medicare enrolled "Family Medicine" physician in Camino, California. Her current practice location is
3070 Camino Heights Dr Ste B, Camino, California. You can reach out to her office (for appointments etc.) via phone at
(530) 651-2000.
Dr Judith Brandt is licensed to practice in California (license number 20A6245) 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 1750363966.
Physician's Profile
| Full Name | Dr Judith Brandt |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 3070 Camino Heights Dr Ste B, Camino, 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: 1750363966
- Provider Enumeration Date: 11/15/2005
- Last Update Date: 10/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 8729028501
- Enrollment ID: I20050511000496
Medical Identifiers
Medical identifiers for Dr Judith Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750363966 | NPI | - | NPPES |
| RHM08909F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 20A6245 (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 Judith Brandt allows following entities to bill medicare on her behalf.
| Entity Name | Judith Brandt D O Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457557126
PECOS PAC ID: 5991749855
Enrollment ID: O20241108000313 |
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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. Dr Judith Brandt 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 Judith Brandt, DO, FAAFP
3070 Camino Heights Dr, Suite B,
Camino, CA 95709-9508
Ph: (530) 647-9762 | Dr Judith Brandt, DO, FAAFP
3070 Camino Heights Dr Ste B,
Camino, CA 95709-9508
Ph: (530) 651-2000 |
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