Ayat Madi, is a medicare enrolled "Social Worker - Clinical" provider in Long Beach, California. Her current practice location is
3939 Atlantic Ave Ste 103, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at
(562) 264-6001.
Ayat Madi is licensed to practice in California (license number 102849) 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 1003399874.
Healthcare Provider's Profile
| Full Name | Ayat Madi |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3939 Atlantic Ave Ste 103, Long Beach, 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: 1003399874
- Provider Enumeration Date: 09/07/2018
- Last Update Date: 08/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9032516752
- Enrollment ID: I20210923000575
Medical Identifiers
Medical identifiers for Ayat Madi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003399874 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 102849 (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. Ayat Madi allows following entities to bill medicare on her behalf.
| Entity Name | Theracare Psychology And Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487200515
PECOS PAC ID: 9537593371
Enrollment ID: O20200102001478 |
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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. Ayat Madi 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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Ayat Madi,
447 N El Molino Ave,
Pasadena, CA 91101-1403
Ph: () - | Ayat Madi,
3939 Atlantic Ave Ste 103,
Long Beach, CA 90807-3529
Ph: (562) 264-6001 |
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