Ms Brande Gwen Van Brocklin, MA CCC-SLP in Los Banos, CA - Medicare Speech-Language Pathologist Provider

Ms Brande Gwen Van Brocklin, MA CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Los Banos, California. Her current practice location is 633 Monroe Ave, Los Banos, California. You can reach out to her office (for appointments etc.) via phone at (619) 756-8070.

Ms Brande Gwen Van Brocklin is licensed to practice in California (license number 33487) 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 1316743016.

Contact Information

	Ms Brande Gwen Van Brocklin, MA CCC-SLP
	633 Monroe Ave, Los Banos, CA 93635-4718
	(619) 756-8070
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Brande Gwen Van Brocklin
Gender	Female
Speciality	Speech-language Pathologist
Location	633 Monroe Ave, Los Banos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316743016
Provider Enumeration Date: 02/22/2025
Last Update Date: 02/22/2025

Medicare PECOS Information:

PECOS PAC ID: 5799209326
Enrollment ID: I20250404001625

Medical Identifiers

Medical identifiers for Ms Brande Gwen Van Brocklin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316743016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	33487 (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. Ms Brande Gwen Van Brocklin allows following entities to bill medicare on her behalf.

Provider Name	Orthopaedic And Neurological Rehab Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1225496540 PECOS PAC ID: 6507159126 Enrollment ID: O20160720000431

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. Ms Brande Gwen Van Brocklin 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
Ms Brande Gwen Van Brocklin, MA CCC-SLP 633 Monroe Ave, Los Banos, CA 93635-4718 Ph: (619) 756-8070	Ms Brande Gwen Van Brocklin, MA CCC-SLP 633 Monroe Ave, Los Banos, CA 93635-4718 Ph: (619) 756-8070

Reviews and Comments

Speech-Language Pathologist in Los Banos, CA

Sharon Ann Sawyer, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 939 Madison Ave, Los Banos, CA 93635 Phone: 209-826-6086 Fax: 209-826-0464
Shellbey Cotta, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 639 Adams Ave, Los Banos, CA 93635 Phone: 231-878-9565
Center For Speech & Language Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 312 W J St, Suite 202, Los Banos, CA 93635 Phone: 209-827-1500 Fax: 209-827-1300

Ms Brande Gwen Van Brocklin, MA CCC-SLP - Medicare Speech-Language Pathologist in Los Banos, CA