Dr Bobby Babak Nourani, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Lake Forest, California. He went to Arizona College Of Osteopathic Medicine Mid Western University and graduated in 2008 and has 16 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. His current practice location is
23101 Lake Center Dr Ste 315, Lake Forest, California. You can reach out to his office (for appointments etc.) via phone at
(546) 546-2811.
Dr Bobby Babak Nourani is licensed to practice in California (license number 20A10928) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1700115961.
Physician's Profile
| Full Name | Dr Bobby Babak Nourani |
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| Gender | Male |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 16 Years |
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| Location | 23101 Lake Center Dr Ste 315, Lake Forest, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Bobby Babak Nourani attended and graduated from Arizona College Of Osteopathic Medicine Mid Western University in 2008
NPI Data:
- NPI Number: 1700115961
- Provider Enumeration Date: 12/17/2009
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234392960
- Enrollment ID: I20130712000586
Medical Identifiers
Medical identifiers for Dr Bobby Babak Nourani such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700115961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 20A10928 (California) | Primary |
| 204D00000X | Neuromusculoskeletal Medicine & Omm | 20A10928 (California) | Secondary |
| 207Q00000X | Family Medicine | 20A10928 (California) | Secondary |
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. Dr Bobby Babak Nourani allows following entities to bill medicare on his behalf.
| Entity Name | Uc Regents |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760430847
PECOS PAC ID: 7416869516
Enrollment ID: O20031118000906 |
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| Entity Name | Bobby Nourani Do Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427673573
PECOS PAC ID: 9335567023
Enrollment ID: O20200911001959 |
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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. Dr Bobby Babak Nourani 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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Dr Bobby Babak Nourani, DO
23101 Lake Center Dr Ste 315,
Lake Forest, CA 92630-6812
Ph: (546) 546-2811 | Dr Bobby Babak Nourani, DO
23101 Lake Center Dr Ste 315,
Lake Forest, CA 92630-6812
Ph: (546) 546-2811 |
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