Brenton Mikito Micah Kanno, in Marina, CA - Medicare Physical Therapy Provider

Brenton Mikito Micah Kanno, is a medicare enrolled "Physical Therapist" provider in Marina, California. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Select Cal Physical Therapy Pc and his current practice location is 292 Reservation Rd, Marina, California. You can reach out to his office (for appointments etc.) via phone at (831) 883-8542.

Brenton Mikito Micah Kanno is licensed to practice in California (license number 300347) 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 1619546439.

Contact Information

	Brenton Mikito Micah Kanno,
	292 Reservation Rd, Marina, CA 93933-3110
	(831) 883-8542
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brenton Mikito Micah Kanno
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	292 Reservation Rd, Marina, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brenton Mikito Micah Kanno graduated from medical school in 2020

NPI Data:

NPI Number: 1619546439
Provider Enumeration Date: 06/24/2021
Last Update Date: 06/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4385040716
Enrollment ID: I20210909001753

Medical Identifiers

Medical identifiers for Brenton Mikito Micah Kanno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619546439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	300347 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Cal Physical Therapy Pc	4789070699	120

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. Brenton Mikito Micah Kanno allows following entities to bill medicare on his behalf.

Provider Name	Marina Physical Therapy, Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1528223013 PECOS PAC ID: 1557405107 Enrollment ID: O20100219000431

Provider Name	Select Cal Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572

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. Brenton Mikito Micah Kanno 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
Brenton Mikito Micah Kanno, 201 Glenwood Cir Apt 13e, Monterey, CA 93940-6723 Ph: () -	Brenton Mikito Micah Kanno, 292 Reservation Rd, Marina, CA 93933-3110 Ph: (831) 883-8542

Reviews and Comments

Physical Therapist in Marina, CA

Jane Hong, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Lakewood Dr, Marina, CA 93933 Phone: 831-521-3865
Mr. Arthur Philip Zayas Villanueva, PTDPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 269 Reservation Rd Apt 110, Marina, CA 93933 Phone: 831-220-5327
Miss Laurie James Gundlach, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 9th St, Marina, CA 93933 Phone: 504-909-0074
William Frederick Manchester, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 445 Reservation Rd, Suite A, Marina, CA 93933 Phone: 831-883-8542 Fax: 831-883-8526
Neil Franklin Hofbauer, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 9th St, Marina, CA 93933 Phone: 831-884-1097
Sasha Geisler, Physical Therapist Medicare: Medicare Enrolled Practice Location: 445 Reservation Rd Ste F, Marina, CA 93933 Phone: 831-583-8747

Brenton Mikito Micah Kanno, - Medicare Physical Therapist in Marina, CA