Brent Mcmahon, PT in San Marino, CA - Medicare Physical Therapist Provider

Brent Mcmahon, PT is a medicare enrolled "Physical Therapist" provider in San Marino, California. His current practice location is 2327 Huntington Dr, San Marino, California. You can reach out to his office (for appointments etc.) via phone at (626) 395-0884.

Brent Mcmahon is licensed to practice in California (license number 293789) 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 1356852883.

Contact Information

	Brent Mcmahon, PT
	2327 Huntington Dr, San Marino, CA 91108-2642
	(626) 395-0884
	(626) 395-0884

Map and Direction

Healthcare Provider's Profile

Full Name	Brent Mcmahon
Gender	Male
Speciality	Physical Therapist
Location	2327 Huntington Dr, San Marino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356852883
Provider Enumeration Date: 10/24/2017
Last Update Date: 12/22/2023

Medicare PECOS Information:

PECOS PAC ID: 7618226028
Enrollment ID: I20181018001299

Medical Identifiers

Medical identifiers for Brent Mcmahon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356852883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	293789 (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. Brent Mcmahon allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Provider Name	Physical Edge Physical Therapy Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1114988227 PECOS PAC ID: 6709854508 Enrollment ID: O20040920000902

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. Brent Mcmahon 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
Brent Mcmahon, PT 615 S Citrus St, West Covina, CA 91791-2844 Ph: () -	Brent Mcmahon, PT 2327 Huntington Dr, San Marino, CA 91108-2642 Ph: (626) 395-0884

Reviews and Comments

Physical Therapist in San Marino, CA

Sharon Heung, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1690 Rubio Dr, San Marino, CA 91108 Phone: 626-616-6912
Mrs. Susan Burns Zweighaft, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 734 Winthrop Rd, San Marino, CA 91108 Phone: 626-441-4299
Timothy Byung Jin Lim, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2010 Huntington Dr Ste C, San Marino, CA 91108 Phone: 626-234-2253 Fax: 626-234-2192
Lorenz Kim, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1797 Oak Grove Ave, San Marino, CA 91108 Phone: 626-372-1114
Lyle Marie Hanf, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 La Mirada Ave, San Marino, CA 91108 Phone: 626-676-6428
Ariel Shore, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2327 Huntington Dr, San Marino, CA 91108 Phone: 626-395-0884 Fax: 626-695-5663

Brent Mcmahon, PT - Medicare Physical Therapist in San Marino, CA