Maryam Kazi, is a medicare enrolled "Marriage & Family Therapist" provider in Costa Mesta, California. Her current practice location is
2900 Bristol St, Costa Mesta, California. You can reach out to her office (for appointments etc.) via phone at
(949) 436-6841.
Maryam Kazi is licensed to practice in California (license number 129226) 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 1104533447.
Healthcare Provider's Profile
| Full Name | Maryam Kazi |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 2900 Bristol St, Costa Mesta, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104533447
- Provider Enumeration Date: 11/04/2022
- Last Update Date: 11/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 7113466434
- Enrollment ID: I20240829003077
Medical Identifiers
Medical identifiers for Maryam Kazi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104533447 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | 129226 (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. Maryam Kazi allows following entities to bill medicare on her behalf.
| Entity Name | Orange County Health Psychologists Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174945554
PECOS PAC ID: 4688990260
Enrollment ID: O20150225000931 |
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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. Maryam Kazi 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 |
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Maryam Kazi,
1 League Unit 61291,
Irvine, CA 92602-7059
Ph: () - | Maryam Kazi,
2900 Bristol St,
Costa Mesta, CA 92626
Ph: (949) 436-6841 |
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