Walter D Bramson Md A Professional Corporation is a medicare enrolled primary clinic (Clinic/center) in Crestline, California. The current practice location for Walter D Bramson Md A Professional Corporation is 580 Forest Shade Rd Unit 1, Crestline, California. For appointments, you can reach them via phone at
(909) 338-1851. The mailing address for Walter D Bramson Md A Professional Corporation is Po Box 3816, 580 Forest Shade Rd Unit 1, Crestline, California and phone number is (909) 338-1851.
Walter D Bramson Md A Professional Corporation is licensed to practice in California (license number G40647). The clinic also participates in the medicare program and its
NPI number is 1700216488. This medical practice
accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at
(909) 338-1851.
Primary Care Clinic Profile
| Full Name | Walter D Bramson Md A Professional Corporation |
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| Speciality | Clinic/Center |
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| Location | 580 Forest Shade Rd Unit 1, Crestline, California |
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| Authorized Official Name and Position | Walter David Bramson (PRESIDENT) |
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| Authorized Official Contact | 9093381851 |
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| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Walter D Bramson Md A Professional Corporation
Po Box 3816
580 Forest Shade Rd Unit 1
Crestline
CA 92325-3816
Ph: (909) 338-1851 | Walter D Bramson Md A Professional Corporation
580 Forest Shade Rd Unit 1
Crestline
CA 92325-3816
Ph: (909) 338-1851 |
NPI Details:
| NPI Number | 1700216488 |
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| Provider Enumeration Date | 11/18/2013 |
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| Last Update Date | 06/13/2014 |
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Medicare PECOS Information:
| Medicare PECOS PAC ID | 4284858309 |
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| Medicare Enrollment ID | O20140611001864 |
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Medical Identifiers
Medical identifiers for Walter D Bramson Md A Professional Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700216488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 261Q00000X | Clinic/center | G40647 (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.
Walter D Bramson Md A Professional Corporation acts as a billing entity for following providers:
| Provider Name | Walter D Bramson |
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| Provider Type | Practitioner - Family Practice |
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| Provider Identifiers | NPI Number: 1033167119
PECOS PAC ID: 2860681491
Enrollment ID: I20110112000524 |
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