Ms Nazanin Adriana Kavoussi, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in New York, New York. Her current practice location is
119 W 124th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 386-1798.
Ms Nazanin Adriana Kavoussi is licensed to practice in New York (license number 084192) 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 1306186044.
Healthcare Provider's Profile
Full Name | Ms Nazanin Adriana Kavoussi |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 119 W 124th St, New York, New York |
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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: 1306186044
- Provider Enumeration Date: 02/16/2013
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 6608275037
- Enrollment ID: I20210604000596
Medical Identifiers
Medical identifiers for Ms Nazanin Adriana Kavoussi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1306186044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 28134 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 084192 (New York) | 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. Ms Nazanin Adriana Kavoussi allows following entities to bill medicare on her behalf.
Entity Name | Brave Medical P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902415318 PECOS PAC ID: 2567882731 Enrollment ID: O20201009001446 |
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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. Ms Nazanin Adriana Kavoussi 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 |
Ms Nazanin Adriana Kavoussi, LCSW, CASAC 119 W 124th St, New York, NY 10027-4920 Ph: (917) 386-1798 | Ms Nazanin Adriana Kavoussi, LCSW, CASAC 119 W 124th St, New York, NY 10027-4920 Ph: (917) 386-1798 |
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