Briana Distan, is a medicare enrolled "Advanced Practice Midwife" in Chula Vista, California. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). Her current practice location is
1321 Ortega St, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at
(661) 544-5990.
Briana Distan is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1518790427.
Provider's Profile
| Full Name | Briana Distan |
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| Gender | Female |
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| Speciality | Certified Nurse Midwife (cnm) |
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| Experience | 2 Years |
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| Location | 1321 Ortega St, Chula Vista, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Briana Distan graduated from nursing school in 2024
NPI Data:
- NPI Number: 1518790427
- Provider Enumeration Date: 08/26/2024
- Last Update Date: 08/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507357415
- Enrollment ID: I20251118002440
Medical Identifiers
Medical identifiers for Briana Distan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518790427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | (* (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. Briana Distan allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Briana Distan 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 |
|---|
Briana Distan,
1321 Ortega St,
Chula Vista, CA 91913-3544
Ph: Not Available | Briana Distan,
1321 Ortega St,
Chula Vista, CA 91913-3544
Ph: (661) 544-5990 |
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