Yuri Stevens, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is
11835 W Olympic Blvd Ste 1265e, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(310) 273-4843.
Yuri Stevens is licensed to practice in California (license number PSY30269) 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 1134351745.
Healthcare Provider's Profile
Full Name | Yuri Stevens |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 11835 W Olympic Blvd Ste 1265e, 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: 1134351745
- Provider Enumeration Date: 08/14/2009
- Last Update Date: 01/03/2022
Medicare PECOS Information:
- PECOS PAC ID: 9739429507
- Enrollment ID: I20190314002249
Medical Identifiers
Medical identifiers for Yuri Stevens such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134351745 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY30269 (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. Yuri Stevens allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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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. Yuri Stevens 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 |
Yuri Stevens, PSYD 3626 Balboa St, San Francisco, CA 94121-2604 Ph: (415) 668-5955 | Yuri Stevens, PSYD 11835 W Olympic Blvd Ste 1265e, Los Angeles, CA 90064-5814 Ph: (310) 273-4843 |
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