Kim M Brandau, MD - Medicare General Surgery in Moab, UT

Kim M Brandau, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Moab, Utah. She went to University Of Southern California Keck School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Pro Health One Inc, Pro Health One Inc, Pro Health One Inc and her current practice location is 450 Williams Way, Moab, Utah. You can reach out to her office (for appointments etc.) via phone at (714) 772-6701.

Kim M Brandau is licensed to practice in Utah (license number 9740645-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871520742.

Contact Information

Kim M Brandau, MD
450 Williams Way,
Moab, UT 84532-2185
(714) 772-6701
(714) 772-5240



Physician's Profile

Full NameKim M Brandau
GenderFemale
SpecialityGeneral Surgery
Experience31 Years
Location450 Williams Way, Moab, Utah
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim M Brandau attended and graduated from University Of Southern California Keck School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1871520742
  • Provider Enumeration Date: 06/27/2006
  • Last Update Date: 09/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5991984908
  • Enrollment ID: I20220107001051

Medical Identifiers

Medical identifiers for Kim M Brandau such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871520742NPI-NPPES
GR0000190MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 9740645-1205 (Utah)Secondary
208C00000XColon & Rectal Surgery 9740645-1205 (Utah)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pro Health One Inc246677808922
Pro Health One Inc246677808922
Pro Health One Inc246677808922

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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. Kim M Brandau allows following entities to bill medicare on her behalf.
Entity NamePro Health One Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053714584
PECOS PAC ID: 2466778089
Enrollment ID: O20171120000890

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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. Kim M Brandau 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
Kim M Brandau, MD
450 Williams Way,
Moab, UT 84532-2185

Ph: (714) 772-6701
Kim M Brandau, MD
450 Williams Way,
Moab, UT 84532-2185

Ph: (714) 772-6701

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