Brandi Beresford, NP in Palo Alto, CA - Medicare Nurse Practitioner

Brandi Beresford, NP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Palo Alto, California. Her current practice location is 195 Page Mill Rd Ste 103, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (909) 546-1050.

Brandi Beresford is licensed to practice in California (license number 21324) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265780332.

Contact Information

	Brandi Beresford, NP
	195 Page Mill Rd Ste 103, Palo Alto, CA 94306-2073
	(909) 546-1050
	Not Available

Map and Direction

Provider's Profile

Full Name	Brandi Beresford
Gender	Female
Speciality	Nurse Practitioner - Obstetrics & Gynecology
Location	195 Page Mill Rd Ste 103, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265780332
Provider Enumeration Date: 08/21/2012
Last Update Date: 12/05/2024

Medicare PECOS Information:

PECOS PAC ID: 8527495191
Enrollment ID: I20200219002612

Medical Identifiers

Medical identifiers for Brandi Beresford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265780332	NPI	-	NPPES
641677	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	21324 (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. Brandi Beresford allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Brandi Beresford 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
Brandi Beresford, NP 195 Page Mill Rd Ste 103, Palo Alto, CA 94306-2073 Ph: () -	Brandi Beresford, NP 195 Page Mill Rd Ste 103, Palo Alto, CA 94306-2073 Ph: (909) 546-1050

Reviews and Comments

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Brandi Beresford, NP - Medicare Nurse Practitioner in Palo Alto, CA