Mr Bryan Penalosa, in Loma Linda, CA - Medicare Orthopaedic Surgery

Mr Bryan Penalosa, is a medicare enrolled "Orthopaedic Surgery" physician in Loma Linda, California. His current practice location is 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-6444.

Mr Bryan Penalosa is licensed to practice in California (license number A158225) 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 1972035376.

Contact Information

	Mr Bryan Penalosa,
	11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804
	(909) 558-6444
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Bryan Penalosa
Gender	Male
Speciality	Orthopaedic Surgery
Location	11234 Anderson St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972035376
Provider Enumeration Date: 04/03/2017
Last Update Date: 06/20/2023

Medicare PECOS Information:

PECOS PAC ID: 2365885993
Enrollment ID: I20240209002932

Medical Identifiers

Medical identifiers for Mr Bryan Penalosa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972035376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	A158225 (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. Mr Bryan Penalosa allows following entities to bill medicare on his behalf.

Entity Name	Hasan Syed Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659976801 PECOS PAC ID: 6709265507 Enrollment ID: O20220624002392

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. Mr Bryan Penalosa 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
Mr Bryan Penalosa, 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 Ph: (909) 558-6444	Mr Bryan Penalosa, 11234 Anderson St, Gme Office Westerly Suite C, Loma Linda, CA 92354-2804 Ph: (909) 558-6444

Reviews and Comments

Orthopaedic Surgery Doctors in Loma Linda, CA

Dr. Emily Mimi Nguyen, DPM Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Philip Henry Reiswig, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-583-6073
Dr. Corey Brandon Fuller, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd Ste 102b, Loma Linda, CA 92354 Phone: 909-558-6444 Fax: 909-558-6118
Parke William Hudson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000
Dr. Gary D Botimer, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5599
Allen Nedley, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354 Phone: 909-558-6444
Dr. Arthur Thiel, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 25455 Barton Rd, Ste 102b, Loma Linda, CA 92354 Phone: 909-558-2808 Fax: 909-558-5588

Mr Bryan Penalosa, - Medicare Orthopaedic Surgery in Loma Linda, CA