Dr Brannen Liang, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Los Angeles, California. His current practice location is
4733 W Sunset Blvd Fl 3, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(860) 877-9396.
Dr Brannen Liang is licensed to practice in * (Not Available) (license number ) 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 1568965366.
Physician's Profile
| Full Name | Dr Brannen Liang |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 4733 W Sunset Blvd Fl 3, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1568965366
- Provider Enumeration Date: 03/18/2018
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800220054
- Enrollment ID: I20200615000358
Medical Identifiers
Medical identifiers for Dr Brannen Liang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568965366 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | A164124 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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 Brannen Liang allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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. Dr Brannen Liang 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 |
Dr Brannen Liang, MD 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 Ph: (860) 877-9396 | Dr Brannen Liang, MD 4733 W Sunset Blvd Fl 3, Los Angeles, CA 90027-6021 Ph: (860) 877-9396 |
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