Ms Siouneh Shabandari, MSW is a medicare enrolled "Social Worker - Clinical" provider in Glendale, California. Her current practice location is
237 N Central Ave, Glendale, California. You can reach out to her office (for appointments etc.) via phone at
(818) 547-9544.
Ms Siouneh Shabandari is licensed to practice in California (license number LCSW90749) 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 1750792123.
Healthcare Provider's Profile
| Full Name | Ms Siouneh Shabandari |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 237 N Central Ave, Glendale, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1750792123
- Provider Enumeration Date: 05/19/2014
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820463938
- Enrollment ID: I20230403001587
Medical Identifiers
Medical identifiers for Ms Siouneh Shabandari such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750792123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | ASW67654 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW90749 (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. Ms Siouneh Shabandari allows following entities to bill medicare on her behalf.
| Entity Name | Pacific Clinics |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1255496105
PECOS PAC ID: 4082008420
Enrollment ID: O20220228001926 |
|---|
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 Siouneh Shabandari 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 Siouneh Shabandari, MSW
237 N Central Ave,
Glendale, CA 91203-3526
Ph: (818) 547-9544 | Ms Siouneh Shabandari, MSW
237 N Central Ave,
Glendale, CA 91203-3526
Ph: (818) 547-9544 |
Reviews and Comments