Mr Brandon Moritz, FNP is a medicare enrolled "Nurse Practitioner - Family" in Agoura, California. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cottage Clinical Network Llc and his current practice location is
5623 Kanan Rd, Agoura, California. You can reach out to his office (for appointments etc.) via phone at
(818) 991-5522.
Mr Brandon Moritz is licensed to practice in California (license number 95009261) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265911341.
Provider's Profile
| Full Name | Mr Brandon Moritz |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 5623 Kanan Rd, Agoura, California |
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| Accepts Medicare Assignments | Yes. He 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:
- Mr Brandon Moritz graduated from nursing school in 2018
NPI Data:
- NPI Number: 1265911341
- Provider Enumeration Date: 08/09/2018
- Last Update Date: 01/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 4880933316
- Enrollment ID: I20190228001538
Medical Identifiers
Medical identifiers for Mr Brandon Moritz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265911341 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 95009261 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cottage Clinical Network Llc | 1850712530 | 49 |
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. Mr Brandon Moritz allows following entities to bill medicare on his behalf.
| Entity Name | Cottage Clinical Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588209357
PECOS PAC ID: 1850712530
Enrollment ID: O20200604001981 |
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| Entity Name | Cottage Clinical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235790544
PECOS PAC ID: 0345625950
Enrollment ID: O20220919001496 |
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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. Mr Brandon Moritz 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 Brandon Moritz, FNP
5623 Kanan Rd,
Agoura, CA 91301-3358
Ph: (818) 991-5522 | Mr Brandon Moritz, FNP
5623 Kanan Rd,
Agoura, CA 91301-3358
Ph: (818) 991-5522 |
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