Nathan Dario Brinckhaus, in Fortuna, CA - Medicare Family Practice

Nathan Dario Brinckhaus, is a medicare enrolled "Family Medicine" physician in Fortuna, California. He went to Loma Linda University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Fortuna Family Medicine Inc, Providence Medical Foundation and his current practice location is 2404 Newburg Rd, Fortuna, California. You can reach out to his office (for appointments etc.) via phone at (707) 617-2002.

Nathan Dario Brinckhaus is licensed to practice in California (license number A124994) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1508156910.

Contact Information

	Nathan Dario Brinckhaus,
	2404 Newburg Rd, Fortuna, CA 95540-2818
	(707) 617-2002
	(833) 941-4882

Map and Direction

Physician's Profile

Full Name	Nathan Dario Brinckhaus
Gender	Male
Speciality	Family Practice
Experience	11 Years
Location	2404 Newburg Rd, Fortuna, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nathan Dario Brinckhaus attended and graduated from Loma Linda University School Of Medicine in 2014

NPI Data:

NPI Number: 1508156910
Provider Enumeration Date: 04/19/2011
Last Update Date: 12/19/2024

Medicare PECOS Information:

PECOS PAC ID: 1355560541
Enrollment ID: I20250416002044

Medical Identifiers

Medical identifiers for Nathan Dario Brinckhaus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508156910	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A124994 (California)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Joseph Hospital	Eureka, CA	Hospital
Redwood Memorial Hospital	Fortuna, CA	Hospital
Mad River Community Hospital	Arcata, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fortuna Family Medicine Inc	6901279264	11
Providence Medical Foundation	8921993205	1329

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. Nathan Dario Brinckhaus allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	Fortuna Family Medicine Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508580705 PECOS PAC ID: 6901279264 Enrollment ID: O20250416002062

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. Nathan Dario Brinckhaus 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
Nathan Dario Brinckhaus, 2404 Newburg Rd, Fortuna, CA 95540-2818 Ph: (707) 617-2002	Nathan Dario Brinckhaus, 2404 Newburg Rd, Fortuna, CA 95540-2818 Ph: (707) 617-2002

Reviews and Comments

Family Medicine Doctors in Fortuna, CA

Dr. Katherine Anne Talbert Estlin, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3429 Renner Dr, Fortuna, CA 95540 Phone: 707-726-2255 Fax: 707-949-9715
Daniel Alan Heyn, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-1998
Dr. Clifford Ray Jones, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3302 Renner Dr Ste A, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-9396
Philip L Olkin, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3302 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3318 Fax: 707-725-9396
Rodney Blaine Grover, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3306 Renner Dr, Fortuna, CA 95540 Phone: 707-725-6101 Fax: 707-725-2978
Mark Todd Roback, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3304 Renner Dr, Fortuna, CA 95540 Phone: 707-725-4477 Fax: 707-725-9209

Nathan Dario Brinckhaus, - Medicare Family Practice in Fortuna, CA