Dr Fawzy Samy Basta Sr, MD in Northridge, CA

Dr Fawzy Samy Basta Sr, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Northridge, California. He graduated from medical school in 1978 and has 47 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Fawzy Basta M D A Professional Corporation and his current practice location is 17075 Devonshire St, Ste 204, Northridge, California. You can reach out to his office (for appointments etc.) via phone at (818) 368-8929.

Dr Fawzy Samy Basta Sr is licensed to practice in California (license number A42961) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1043394505.

Contact Information

	Dr Fawzy Samy Basta Sr, MD
	17075 Devonshire St, Ste 204, Northridge, CA 91325-5408
	(818) 368-8929
	(818) 368-8940

Map and Direction

Physician's Profile

Full Name	Dr Fawzy Samy Basta Sr
Gender	Male
Speciality	Psychiatry
Experience	47 Years
Location	17075 Devonshire St, Northridge, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Fawzy Samy Basta Sr graduated from medical school in 1978

NPI Data:

NPI Number: 1043394505
Provider Enumeration Date: 10/24/2006
Last Update Date: 01/20/2012

Medicare PECOS Information:

PECOS PAC ID: 8426093451
Enrollment ID: I20101124000589

Medical Identifiers

Medical identifiers for Dr Fawzy Samy Basta Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043394505	NPI	-	NPPES
0A429611	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A42961 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southern California Hospital At Hollywood	Hollywood, CA	Hospital
Providence Holy Cross Medical Center	Mission hills, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Fawzy Basta M D A Professional Corporation	4880639814	4

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 Fawzy Samy Basta Sr allows following entities to bill medicare on his behalf.

Entity Name	Fawzy Basta M D A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508932500 PECOS PAC ID: 4880639814 Enrollment ID: O20050621000763

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 Fawzy Samy Basta Sr 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
Dr Fawzy Samy Basta Sr, MD 17075 Devonshire St, Ste 204, Northridge, CA 91325-1600 Ph: (818) 368-8929	Dr Fawzy Samy Basta Sr, MD 17075 Devonshire St, Ste 204, Northridge, CA 91325-5408 Ph: (818) 368-8929

Reviews and Comments

Psychiatry & Neurology Doctors in Northridge, CA

Cassandra Harewood, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Abul H Shirazi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9849 Melvin Ave, Northridge, CA 91324 Phone: 818-372-0656 Fax: 818-709-6358
Clinton Montgomery, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Ehab S Yacoub, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 18546 Roscoe Blvd, Suite 210, Northridge, CA 91324 Phone: 818-886-5628 Fax: 818-701-8042
Elizabeth Mcguire, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 8550 Balboa Blvd, Suite 150, Northridge, CA 91325 Phone: 818-739-5750 Fax: 818-739-5755
Dr. Mehboob Ali Makhani, M.D. Psychiatry & Neurology Medicare: May Accept Medicare Assignments Practice Location: 17075 Devonshire St, Suite 204, Northridge, CA 91325 Phone: 818-717-8464 Fax: 818-530-7880

Dr Fawzy Samy Basta Sr, MD - Medicare Psychiatry in Northridge, CA