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Josue Brainin-Mattos

Anesthesiology

Allopathic & Osteopathic Physicians

3315 Watt Ave, Sacramento, CA 95821-3600

PECOS Enrollment

This provider is enrolled in PECOS as JOSUE BRAININ.

Based on the most recent information from CMS, provider Josue Brainin-Mattos is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1356413066
Provider Type
Individual
Full Name
Brainin-Mattos, Josue
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
11/15/2006
Last Updated
4/8/2019

Contact Information

Practice Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-0777

Unlisted Fax

Mailing Location

3315 Watt Ave, Sacramento, CA 95821-3600

(916) 481-0777

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License ME105380 Florida
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License A98035 California

Provider Identifiers

ID	Description	Issuer
ID ZZZ16448Z	Description Other	Issuer GROUP PTAN NUMBER California

Josue Brainin-Mattos

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

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