Dr Julisa Bravo, MD - Medicare Obstetrics & Gynecology in Anaheim, CA

Dr Julisa Bravo, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Anaheim, California. Her current practice location is 441 N Lakeview Ave, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at (888) 988-2800.

Dr Julisa Bravo is licensed to practice in California (license number A64999) 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 1295802015.

Contact Information

Dr Julisa Bravo, MD
441 N Lakeview Ave,
Anaheim, CA 92807-3028
(888) 988-2800
Not Available



Physician's Profile

Full NameDr Julisa Bravo
GenderFemale
SpecialityObstetrics & Gynecology
Location441 N Lakeview Ave, Anaheim, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295802015
  • Provider Enumeration Date: 11/29/2006
  • Last Update Date: 12/14/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0446431456
  • Enrollment ID: I20110224000227

Medical Identifiers

Medical identifiers for Dr Julisa Bravo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295802015NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology A64999 (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. Dr Julisa Bravo allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678

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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. Dr Julisa Bravo 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 AddressPractice Location Address
Dr Julisa Bravo, MD
3440 E La Palma Ave,
Anaheim, CA 92806-2020

Ph: (888) 988-2800
Dr Julisa Bravo, MD
441 N Lakeview Ave,
Anaheim, CA 92807-3028

Ph: (888) 988-2800

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Obstetrics & Gynecology Doctors in Anaheim, CA

Jane K Hong, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1174 N Euclid St, Anaheim, CA 92801
Phone: 714-535-8900    Fax: 714-778-1418
Byung Wha Chun, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3356 W Ball Rd, Suite: 115, Anaheim, CA 92804
Phone: 714-826-1274    Fax: 714-826-1274
Ronald S. Kohorn, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Debra Rae Gierut, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Peggy L. Grau, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Patrick D. Roth, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    
Anne L. Hardebeck, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 441 N Lakeview Ave, Anaheim, CA 92807
Phone: 888-988-2800    

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