Susan R Brundage, DPT, MPT, OCS in Victorville, CA - Medicare Physical Therapy Provider

Susan R Brundage, DPT, MPT, OCS is a medicare enrolled "Physical Therapist" provider in Victorville, California. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice California Luna Care Physical Therapy Pc and her current practice location is 12402 Industrial Blvd, B2, Victorville, California. You can reach out to her office (for appointments etc.) via phone at (760) 955-6061.

Susan R Brundage is licensed to practice in California (license number PT 28782) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821141961.

Contact Information

	Susan R Brundage, DPT, MPT, OCS
	12402 Industrial Blvd, B2, Victorville, CA 92395-5871
	(760) 955-6061
	(760) 955-6062

Map and Direction

Healthcare Provider's Profile

Full Name	Susan R Brundage
Gender	Female
Speciality	Physical Therapy
Experience	21 Years
Location	12402 Industrial Blvd, Victorville, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Susan R Brundage graduated from medical school in 2003

NPI Data:

NPI Number: 1821141961
Provider Enumeration Date: 01/20/2007
Last Update Date: 01/18/2017

Medicare PECOS Information:

PECOS PAC ID: 9234042417
Enrollment ID: I20031112000655

Medical Identifiers

Medical identifiers for Susan R Brundage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821141961	NPI	-	NPPES
72157585392277A003	Other	CA	TRICARE
0PT287820	Other	CA	BLUE SHIELD
218943	Other	WA	L & I WASHINGTON
PT0287820	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT 28782 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
California Luna Care Physical Therapy Pc	9638427834	565

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. Susan R Brundage allows following entities to bill medicare on her behalf.

Provider Name	Optimal Rehab Abilities, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1942211669 PECOS PAC ID: 8224090873 Enrollment ID: O20041027000481

Provider Name	California Luna Care Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1689162166 PECOS PAC ID: 9638427834 Enrollment ID: O20180803002123

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. Susan R Brundage 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
Susan R Brundage, DPT, MPT, OCS 24630 Washington Ave, Ste. 200, Murrieta, CA 92562-6131 Ph: (951) 696-9353	Susan R Brundage, DPT, MPT, OCS 12402 Industrial Blvd, B2, Victorville, CA 92395-5871 Ph: (760) 955-6061

Reviews and Comments

Physical Therapist in Victorville, CA

Joanne Ingram, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Janette Joyce Mary Coppotelli, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Nicholas Kasischke, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394 Phone: 760-245-6495
Amanda Shin, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395 Phone: 760-245-8828
Karley Ruble, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395 Phone: 800-489-6905
Lauretta Marie Rustad, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395 Phone: 760-955-6061 Fax: 760-955-6062
Optimum Care Provider, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 12381 Bali St, Victorville, CA 92392 Phone: 909-509-6064

Susan R Brundage, DPT, MPT, OCS - Medicare Physical Therapist in Victorville, CA