Reve Brander, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Sherman Oaks, California. His current practice location is
13916 La Maida St, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at
(631) 339-5015.
Reve Brander is licensed to practice in California (license number NA95001235) 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 1275190258.
Provider's Profile
| Full Name | Reve Brander |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 13916 La Maida St, Sherman Oaks, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1275190258
- Provider Enumeration Date: 05/24/2019
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 0446580062
- Enrollment ID: I20200312002159
Medical Identifiers
Medical identifiers for Reve Brander such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275190258 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 687781-1 (New York) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA95001235 (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. Reve Brander allows following entities to bill medicare on his behalf.
| Entity Name | Precision Anesthesia Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205253929
PECOS PAC ID: 6204145105
Enrollment ID: O20151015001459 |
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| Entity Name | Sunset Anesthesia Group A Professional Nursing Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932891678
PECOS PAC ID: 2769842293
Enrollment ID: O20230717000380 |
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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. Reve Brander 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 |
|---|
Reve Brander, CRNA
13916 La Maida St,
Sherman Oaks, CA 91423-1907
Ph: (631) 339-5015 | Reve Brander, CRNA
13916 La Maida St,
Sherman Oaks, CA 91423-1907
Ph: (631) 339-5015 |
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