Rita Ezadjian, is a medicare enrolled "Social Worker - Clinical" provider in Sherman Oaks, California. Her current practice location is
13130 Burbank Blvd, Sherman Oaks, California. You can reach out to her office (for appointments etc.) via phone at
(818) 781-0360.
Rita Ezadjian is licensed to practice in * (Not Available) (license number ) 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 1982251609.
Healthcare Provider's Profile
Full Name | Rita Ezadjian |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 13130 Burbank Blvd, Sherman Oaks, 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: 1982251609
- Provider Enumeration Date: 08/19/2019
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426580036
- Enrollment ID: I20241021000175
Medical Identifiers
Medical identifiers for Rita Ezadjian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982251609 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 97789 (California) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Rita Ezadjian allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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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. Rita Ezadjian 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 |
Rita Ezadjian, 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 Ph: () - | Rita Ezadjian, 13130 Burbank Blvd, Sherman Oaks, CA 91401-6037 Ph: (818) 781-0360 |
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