Brandon Phillip Green, in Artesia, CA - Medicare Physical Therapist Provider

Brandon Phillip Green, is a medicare enrolled "Physical Therapist - Orthopedic" provider in Artesia, California. His current practice location is 17906 Pioneer Blvd Unit 101-102, Artesia, California. You can reach out to his office (for appointments etc.) via phone at (562) 865-2222.

Brandon Phillip Green is licensed to practice in California (license number 303159) 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 1497464804.

Contact Information

	Brandon Phillip Green,
	17906 Pioneer Blvd Unit 101-102, Artesia, CA 90701-3972
	(562) 865-2222
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Phillip Green
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	17906 Pioneer Blvd Unit 101-102, Artesia, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497464804
Provider Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1951774652
Enrollment ID: I20230228001557

Medical Identifiers

Medical identifiers for Brandon Phillip Green such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497464804	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2251X0800X	Physical Therapist - Orthopedic	303159 (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. Brandon Phillip Green allows following entities to bill medicare on his behalf.

Provider Name	Optimum Care Physical Therapy Services
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700215316 PECOS PAC ID: 1153320239 Enrollment ID: O20061219000384

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. Brandon Phillip Green 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
Brandon Phillip Green, 28520 Wood Canyon Dr Apt 67, Aliso Viejo, CA 92656-5270 Ph: (510) 828-7183	Brandon Phillip Green, 17906 Pioneer Blvd Unit 101-102, Artesia, CA 90701-3972 Ph: (562) 865-2222

Reviews and Comments

Physical Therapist in Artesia, CA

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Mrs. Emily Kashe Deangelis, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17100 Pioneer Blvd, Suite 270, Artesia, CA 90701 Phone: 562-865-4900 Fax: 562-865-4945
Mr. John Sang Min Kim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11614 183rd St, Artesia, CA 90701 Phone: 310-413-9945
Miriam Aurelio, Physical Therapist Medicare: Medicare Enrolled Practice Location: 11618 South St Unit 201, Artesia, CA 90701 Phone: 562-865-3355
Roma Kristel Santos, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 11900 Artesia Blvd, Artesia, CA 90701 Phone: 562-860-0504

Brandon Phillip Green, - Medicare Physical Therapist in Artesia, CA