Caroline Petrossian, is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Century City, California. Her current practice location is
1880 Century Park East Suite 711, Century City, California. You can reach out to her office (for appointments etc.) via phone at
(818) 568-4110.
Caroline Petrossian is licensed to practice in California (license number G076448) 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 1396233185.
Physician's Profile
Full Name | Caroline Petrossian |
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Gender | Female |
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Speciality | Internal Medicine - Geriatric Medicine |
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Location | 1880 Century Park East Suite 711, Century City, 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: 1396233185
- Provider Enumeration Date: 04/26/2018
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092189423
- Enrollment ID: I20230324001973
Medical Identifiers
Medical identifiers for Caroline Petrossian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396233185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207RG0300X | Internal Medicine - Geriatric Medicine | G076448 (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. Caroline Petrossian allows following entities to bill medicare on her behalf.
Entity Name | County Of San Diego |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225255375 PECOS PAC ID: 8123014057 Enrollment ID: O20040423001418 |
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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. Caroline Petrossian 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 |
Caroline Petrossian, 528 Palisades Dr, Pacific Palisades, CA 90272-2844 Ph: (818) 568-4110 | Caroline Petrossian, 1880 Century Park East Suite 711, Century City, CA 90067 Ph: (818) 568-4110 |
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