Mr Brett Peyton Custodia, CRNA in Panorama City, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Brett Peyton Custodia, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Panorama City, California. He graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Lifespan Physician Group Of Massachusetts Inc and his current practice location is 13652 Cantara St, Panorama City, California. You can reach out to his office (for appointments etc.) via phone at (818) 375-2448.

Mr Brett Peyton Custodia is licensed to practice in California (license number 3542) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1609041714.

Contact Information

	Mr Brett Peyton Custodia, CRNA
	13652 Cantara St, Panorama City, CA 91402-5423
	(818) 375-2448
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Brett Peyton Custodia
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	13652 Cantara St, Panorama City, California
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Brett Peyton Custodia graduated from nursing school in 2007

NPI Data:

NPI Number: 1609041714
Provider Enumeration Date: 04/29/2008
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7315009149
Enrollment ID: I20230310002365

Medical Identifiers

Medical identifiers for Mr Brett Peyton Custodia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609041714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3542 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Saint Anne's Hospital	Fall river, MA	Hospital
Morton Hospital	Taunton, MA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lifespan Physician Group Of Massachusetts Inc	3870020399	286

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 Brett Peyton Custodia allows following entities to bill medicare on his behalf.

Entity Name	Massachusetts General Physicians Organization Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801874573 PECOS PAC ID: 2466365820 Enrollment ID: O20031111000434

Entity Name	The General Hospital Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023049236 PECOS PAC ID: 6507803806 Enrollment ID: O20080313000351

Entity Name	Steward Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043711914 PECOS PAC ID: 2860688728 Enrollment ID: O20180329001196

Entity Name	Lifespan Physician Group Of Massachusetts Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235957713 PECOS PAC ID: 3870020399 Enrollment ID: O20241223001706

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 Brett Peyton Custodia 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 Brett Peyton Custodia, CRNA 14262 Tyler St, #10, Sylmar, CA 91342-1584 Ph: (818) 741-9129	Mr Brett Peyton Custodia, CRNA 13652 Cantara St, Panorama City, CA 91402-5423 Ph: (818) 375-2448

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Panorama City, CA

Loretta F Vejar, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Sandra K Bordi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2391
Dr. Natalie Robins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 833-574-2273
Irene Jansen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Heather R Klein, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 818-375-4100
Terry L Anton, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Heidi Machen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 833-574-2273

Mr Brett Peyton Custodia, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Panorama City, CA