Dr Laura Fair Brodeske, PHD - Medicare Psychologist in Santa Ana, CA

Dr Laura Fair Brodeske, PHD is a medicare enrolled "Psychologist - Clinical" provider in Santa Ana, California. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 2030 E 4th St, Suite 140 F, Santa Ana, California. You can reach out to her office (for appointments etc.) via phone at (714) 569-9976.

Dr Laura Fair Brodeske is licensed to practice in California (license number PSY21931) 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 1134396070.

Contact Information

Dr Laura Fair Brodeske, PHD
2030 E 4th St, Suite 140 F,
Santa Ana, CA 92705-3940
(714) 569-9976
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Laura Fair Brodeske
GenderFemale
SpecialityClinical Psychologist
Experience22 Years
Location2030 E 4th St, Santa Ana, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Laura Fair Brodeske graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1134396070
  • Provider Enumeration Date: 05/09/2008
  • Last Update Date: 05/09/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2769526664
  • Enrollment ID: I20100216000394

Medical Identifiers

Medical identifiers for Dr Laura Fair Brodeske such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134396070NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY21931 (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. Dr Laura Fair Brodeske allows following entities to bill medicare on her behalf.
Entity NameCare Psychological Services, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437481611
PECOS PAC ID: 2668516576
Enrollment ID: O20100216000407

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. Dr Laura Fair Brodeske 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 AddressPractice Location Address
Dr Laura Fair Brodeske, PHD
2030 E 4th St, Suite 140 F,
Santa Ana, CA 92705-3940

Ph: (714) 569-9976
Dr Laura Fair Brodeske, PHD
2030 E 4th St, Suite 140 F,
Santa Ana, CA 92705-3940

Ph: (714) 569-9976

Reviews and Comments


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