Bradley Russell Shane, MD - Medicare Psychiatry & Neurology in Santa Monica, CA

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Bradley Russell Shane, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Santa Monica, California. His current practice location is 1260 15th St Ste 1024, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at (424) 259-8570.

Bradley Russell Shane is licensed to practice in California (license number A194680) 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 1932720562.

Contact Information

Bradley Russell Shane, MD
1260 15th St Ste 1024,
Santa Monica, CA 90404-1145
(424) 259-8570
(424) 259-6180

Map and Direction




Physician's Profile

Full NameBradley Russell Shane
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location1260 15th St Ste 1024, Santa Monica, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932720562
  • Provider Enumeration Date: 05/05/2020
  • Last Update Date: 10/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274956727
  • Enrollment ID: I20240516003115

Medical Identifiers

Medical identifiers for Bradley Russell Shane such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932720562NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology A194680 (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. Bradley Russell Shane allows following entities to bill medicare on his behalf.
Entity NameUc Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982667663
PECOS PAC ID: 4587568829
Enrollment ID: O20031119001005

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. Bradley Russell Shane 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
Bradley Russell Shane, MD
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: () -		Bradley Russell Shane, MD
1260 15th St Ste 1024,
Santa Monica, CA 90404-1145

Ph: (424) 259-8570

Reviews and Comments


Psychiatry & Neurology Doctors in Santa Monica, CA

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Dr. Franklin David Rudnick, M.D.
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Dr. Stacy A Cohen, M.D.
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Milena M Kaufman, D.O.
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Phone: 310-315-8900    
Dr. Lana Mae Benedek, M.D.
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Salm Robert Moradi, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 3201 Wilshire Blvd, Suite# 209, Santa Monica, CA 90403
Phone: 310-829-1404    Fax: 310-829-1406

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.