Mr Mitchell Don Brimage Sr, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Avila Beach, California. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is
661 Bay Laurel Place, Suite 3b, Avila Beach, California. You can reach out to his office (for appointments etc.) via phone at
(805) 459-8232.
Mr Mitchell Don Brimage Sr is licensed to practice in California (license number 95019766) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1073671996.
Provider's Profile
| Full Name | Mr Mitchell Don Brimage Sr |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 661 Bay Laurel Place, Avila Beach, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Mitchell Don Brimage Sr graduated from nursing school in 2021
NPI Data:
- NPI Number: 1073671996
- Provider Enumeration Date: 12/04/2006
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113304809
- Enrollment ID: I20220518002551
Medical Identifiers
Medical identifiers for Mr Mitchell Don Brimage Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073671996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95019766 (California) | Primary |
Medical Facilities Affiliation
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. Mr Mitchell Don Brimage Sr 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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Mr Mitchell Don Brimage Sr, PMHNP-BC
1260 Ella St Unit 8,
San Luis Obispo, CA 93401-4147
Ph: (805) 441-3611 | Mr Mitchell Don Brimage Sr, PMHNP-BC
661 Bay Laurel Place, Suite 3b,
Avila Beach, CA 93424
Ph: (805) 459-8232 |
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