Andrew William La Brucherie, CRNA in Stockton, CA - Medicare Nurse Anesthetist, Certified Registered

Andrew William La Brucherie, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Stockton, California. His current practice location is 1800 N California St, Stockton, California. You can reach out to his office (for appointments etc.) via phone at (209) 943-2000.

Andrew William La Brucherie is licensed to practice in California (license number 95001813) 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 1154069284.

Contact Information

	Andrew William La Brucherie, CRNA
	1800 N California St, Stockton, CA 95204-6019
	(209) 943-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Andrew William La Brucherie
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	1800 N California St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154069284
Provider Enumeration Date: 05/27/2022
Last Update Date: 07/07/2022

Medicare PECOS Information:

PECOS PAC ID: 8527444348
Enrollment ID: I20221003001127

Medical Identifiers

Medical identifiers for Andrew William La Brucherie such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154069284	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95072796 (California)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001813 (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. Andrew William La Brucherie allows following entities to bill medicare on his behalf.

Entity Name	Anesthesia Services Of San Joaquin Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366778227 PECOS PAC ID: 4082754056 Enrollment ID: O20091223000174

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. Andrew William La Brucherie 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
Andrew William La Brucherie, CRNA 3804 Lark Haven Ct, Stockton, CA 95219-2550 Ph: (760) 791-6679	Andrew William La Brucherie, CRNA 1800 N California St, Stockton, CA 95204-6019 Ph: (209) 943-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Stockton, CA

Grant David Kephart, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: St. Joseph's Medical Center, 1800 N. California St., Stockton, CA 95204 Phone: 209-943-2000
Dr. Dorothy Wanjeru Mbondo, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-662-4749
Khang Do, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-416-6316
Marjorie M Danis, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1805 N California St, Suite 101a, Stockton, CA 95204 Phone: 209-948-5515 Fax: 209-948-9321
Charles Melvin Banks Iii, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Navjot Sanghera, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-943-2000
Carla S Rosenblum, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 N California St, Stockton, CA 95204 Phone: 209-467-6556

Andrew William La Brucherie, CRNA - Medicare Nurse Anesthetist, Certified Registered in Stockton, CA