Mrs Ronda Lynn Brandt, CNM is a medicare enrolled "Advanced Practice Midwife" in Redwood City, California. Her current practice location is
1150 Veterans Blvd, Redwood City, California. You can reach out to her office (for appointments etc.) via phone at
(415) 509-5160.
Mrs Ronda Lynn Brandt is licensed to practice in California (license number 1456) 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 1063579365.
Provider's Profile
| Full Name | Mrs Ronda Lynn Brandt |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 1150 Veterans Blvd, Redwood City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063579365
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 12/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507142015
- Enrollment ID: I20170418001895
Medical Identifiers
Medical identifiers for Mrs Ronda Lynn Brandt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063579365 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 11854 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 1456 (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. Mrs Ronda Lynn Brandt 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. Mrs Ronda Lynn Brandt 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 |
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Mrs Ronda Lynn Brandt, CNM
720 Bair Island Rd, 104,
Redwood City, CA 94063-5528
Ph: (415) 509-5160 | Mrs Ronda Lynn Brandt, CNM
1150 Veterans Blvd,
Redwood City, CA 94063-2037
Ph: (415) 509-5160 |
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