Shahrzad Forat, DC, FNP is a medicare enrolled "Nurse Practitioner - Family" provider in Panorama City, California. Her current practice location is
8215 Van Nuys Blvd Ste 212, Panorama City, California. You can reach out to her office (for appointments etc.) via phone at
(818) 925-9692.
Shahrzad Forat is licensed to practice in California (license number 95016470) 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 1265799522.
Healthcare Provider's Profile
| Full Name | Shahrzad Forat |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8215 Van Nuys Blvd Ste 212, Panorama City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1265799522
- Provider Enumeration Date: 04/11/2012
- Last Update Date: 01/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305093105
- Enrollment ID: I20220329001252
Medical Identifiers
Medical identifiers for Shahrzad Forat such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265799522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | DC21323 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95016470 (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. Shahrzad Forat allows following entities to bill medicare on her behalf.
| Provider Name | American Current Care Of California A Medical Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1750573622
PECOS PAC ID: 5799854303
Enrollment ID: O20080522000420 |
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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. Shahrzad Forat 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 |
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Shahrzad Forat, DC, FNP
8215 Van Nuys Blvd Ste 212,
Panorama City, CA 91402-4834
Ph: (818) 925-9692 | Shahrzad Forat, DC, FNP
8215 Van Nuys Blvd Ste 212,
Panorama City, CA 91402-4834
Ph: (818) 925-9692 |
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