Brandy Plascencia, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Pasadena, California. Her current practice location is
100 S Los Robles Ave # 501, Pasadena, California. You can reach out to her office (for appointments etc.) via phone at
(626) 564-3016.
Brandy Plascencia is licensed to practice in * (Not Available) (license number ) 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 1174204440.
Provider's Profile
| Full Name | Brandy Plascencia |
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| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 100 S Los Robles Ave # 501, Pasadena, 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: 1174204440
- Provider Enumeration Date: 07/28/2023
- Last Update Date: 12/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739617424
- Enrollment ID: I20250108003034
Medical Identifiers
Medical identifiers for Brandy Plascencia such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174204440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WC0200X | Registered Nurse - Critical Care Medicine | 95055158 (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. Brandy Plascencia allows following entities to bill medicare on her 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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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. Brandy Plascencia 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 |
Brandy Plascencia, 226 W 31st St, Long Beach, CA 90806-1323 Ph: (562) 225-1656 | Brandy Plascencia, 100 S Los Robles Ave # 501, Pasadena, CA 91101-2453 Ph: (626) 564-3016 |
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