Brandon Edenedo, DPT in Venice, CA - Medicare Physical Therapist In Private Practice Provider

Brandon Edenedo, DPT is a medicare enrolled "Physical Therapist" provider in Venice, California. He graduated from medical school in 2014 and has 12 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Kulagy Physical Therapy Pc and his current practice location is 1600 Main St Fl 2, Venice, California. You can reach out to his office (for appointments etc.) via phone at (888) 859-0145.

Brandon Edenedo is licensed to practice in California (license number 41587) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1891197208.

Contact Information

	Brandon Edenedo, DPT
	1600 Main St Fl 2, Venice, CA 90291-3626
	(888) 859-0145
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Edenedo
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	12 Years
Location	1600 Main St Fl 2, Venice, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Brandon Edenedo graduated from medical school in 2014

NPI Data:

NPI Number: 1891197208
Provider Enumeration Date: 09/17/2014
Last Update Date: 01/26/2023

Medicare PECOS Information:

PECOS PAC ID: 3375855133
Enrollment ID: I20150708000023

Medical Identifiers

Medical identifiers for Brandon Edenedo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891197208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	41587 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Kulagy Physical Therapy Pc	9638459621	18

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. Brandon Edenedo allows following entities to bill medicare on his behalf.

Provider Name	Playa Physical Therapy
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1598711566 PECOS PAC ID: 5496734022 Enrollment ID: O20040716001137

Provider Name	Kulagy Physical Therapy Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1265895080 PECOS PAC ID: 9638459621 Enrollment ID: O20161208001999

Provider Name	Prodynamics Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1437407335 PECOS PAC ID: 2668734476 Enrollment ID: O20180314002040

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. Brandon Edenedo 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
Brandon Edenedo, DPT 7645 E Evans Rd, Ste 135, Scottsdale, AZ 85260-3492 Ph: (310) 547-1850	Brandon Edenedo, DPT 1600 Main St Fl 2, Venice, CA 90291-3626 Ph: (888) 859-0145

Reviews and Comments

Physical Therapist in Venice, CA

Dr. Susan Stich, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 933 Venezia Ave, Venice, CA 90291 Phone: 310-849-7746
Mr. Renwick Yoshio Maeda, PT MPT OCS GCFP Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145
Ms. Melanie Goya, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145
Andrew Gabriel, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145
Dr. Kyle Reed Iguchi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145
Dr. Casey Tarpey, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1600 Main St Fl 2, Venice, CA 90291 Phone: 888-859-0145 Fax: 888-858-1601
Kinetiq Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 35 Navy St, Venice, CA 90291 Phone: 773-715-1548

Brandon Edenedo, DPT - Medicare Physical Therapist in Venice, CA