Kim M Brandau, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Moab, Utah. She went to University Of Southern California Keck School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Pro Health One Inc, Pro Health One Inc, Pro Health One Inc and her current practice location is
450 Williams Way, Moab, Utah. You can reach out to her office (for appointments etc.) via phone at
(714) 772-6701.
Kim M Brandau is licensed to practice in Utah (license number 9740645-1205) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871520742.
Physician's Profile
| Full Name | Kim M Brandau |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 31 Years |
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| Location | 450 Williams Way, Moab, Utah |
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| Accepts Medicare Assignments | Yes. She 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:
- Kim M Brandau attended and graduated from University Of Southern California Keck School Of Medicine in 1993
NPI Data:
- NPI Number: 1871520742
- Provider Enumeration Date: 06/27/2006
- Last Update Date: 09/23/2020
Medicare PECOS Information:
- PECOS PAC ID: 5991984908
- Enrollment ID: I20220107001051
Medical Identifiers
Medical identifiers for Kim M Brandau such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871520742 | NPI | - | NPPES |
| GR0000190 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 9740645-1205 (Utah) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 9740645-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Pro Health One Inc | 2466778089 | 19 |
| Pro Health One Inc | 2466778089 | 19 |
| Pro Health One Inc | 2466778089 | 19 |
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. Kim M Brandau allows following entities to bill medicare on her behalf.
| Entity Name | Pro Health One Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053714584
PECOS PAC ID: 2466778089
Enrollment ID: O20171120000890 |
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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. Kim M Brandau 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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Kim M Brandau, MD
450 Williams Way,
Moab, UT 84532-2185
Ph: (714) 772-6701 | Kim M Brandau, MD
450 Williams Way,
Moab, UT 84532-2185
Ph: (714) 772-6701 |
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