Peter Matthew Bracken, PA-C in Los Angeles, CA - Medicare Physician Assistant

Peter Matthew Bracken, PA-C is a medicare enrolled "Physician Assistant - Medical" in Los Angeles, California. His current practice location is 1828 S Western Ave, Suite 10, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 730-0310.

Peter Matthew Bracken is licensed to practice in California (license number PA14573) 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 1780611715.

Contact Information

	Peter Matthew Bracken, PA-C
	1828 S Western Ave, Suite 10, Los Angeles, CA 90006-5808
	(323) 730-0310
	(323) 730-1335

Map and Direction

Provider's Profile

Full Name	Peter Matthew Bracken
Gender	Male
Speciality	Physician Assistant - Medical
Location	1828 S Western Ave, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780611715
Provider Enumeration Date: 06/26/2006
Last Update Date: 02/02/2015

Medicare PECOS Information:

PECOS PAC ID: 7214932136
Enrollment ID: I20060928000258

Medical Identifiers

Medical identifiers for Peter Matthew Bracken such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780611715	NPI	-	NPPES
PA14573	Other	CA	MEDICAL LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA14573 (California)	Primary

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. Peter Matthew Bracken 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
Peter Matthew Bracken, PA-C 5415 Newcastle Ave, #6, Encino, CA 91316-2012 Ph: (818) 335-3345	Peter Matthew Bracken, PA-C 1828 S Western Ave, Suite 10, Los Angeles, CA 90006-5808 Ph: (323) 730-0310

Reviews and Comments

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Peter Matthew Bracken, PA-C - Medicare Physician Assistant in Los Angeles, CA