Mabelle Gozun, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. Her current practice location is
4760 Sepulveda Blvd, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 751-5206.
Mabelle Gozun is licensed to practice in California (license number 112851) 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 1255993127.
Healthcare Provider's Profile
Full Name | Mabelle Gozun |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 4760 Sepulveda Blvd, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255993127
- Provider Enumeration Date: 07/01/2019
- Last Update Date: 05/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002270956
- Enrollment ID: I20230912001576
Medical Identifiers
Medical identifiers for Mabelle Gozun such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255993127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 92611 (California) | Secondary |
1041C0700X | Social Worker - Clinical | 112851 (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. Mabelle Gozun allows following entities to bill medicare on her behalf.
Entity Name | Didi Hirsch Psychiatric Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1730299959 PECOS PAC ID: 3870537194 Enrollment ID: O20050616000752 |
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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. Mabelle Gozun 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 |
Mabelle Gozun, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 751-5206 | Mabelle Gozun, 4760 Sepulveda Blvd, Los Angeles, CA 90230-4820 Ph: (310) 751-5206 |
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