Celerino Bacal Brucal, MD is a medicare enrolled "Internal Medicine" physician in Sunland, California. His current practice location is
8524 Tujunga Valley St, Sunland, California. You can reach out to his office (for appointments etc.) via phone at
(818) 353-1533.
Celerino Bacal Brucal is licensed to practice in California (license number A40208) 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 1790875011.
Physician's Profile
| Full Name | Celerino Bacal Brucal |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 8524 Tujunga Valley St, Sunland, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790875011
- Provider Enumeration Date: 10/15/2006
- Last Update Date: 04/02/2008
Medicare PECOS Information:
- PECOS PAC ID: 8527234962
- Enrollment ID: I20120105000729
Medical Identifiers
Medical identifiers for Celerino Bacal Brucal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790875011 | NPI | - | NPPES |
| 00A402080 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | A40208 (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. Celerino Bacal Brucal allows following entities to bill medicare on his behalf.
| Entity Name | County Of Los Angeles |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851363188
PECOS PAC ID: 1850296534
Enrollment ID: O20031204001218 |
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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. Celerino Bacal Brucal 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 |
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Celerino Bacal Brucal, MD
8524 Tujunga Valley St,
Sunland, CA 91040-2358
Ph: (818) 353-1533 | Celerino Bacal Brucal, MD
8524 Tujunga Valley St,
Sunland, CA 91040-2358
Ph: (818) 353-1533 |
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