Dr Mina Moussavian-assadi, MD in Tarzana, CA

Dr Mina Moussavian-assadi, MD is a medicare enrolled "Pediatrics" physician in Tarzana, California. Her current practice location is 5525 Etiwanda Ave, #212, Tarzana, California. You can reach out to her office (for appointments etc.) via phone at (818) 721-2400.

Dr Mina Moussavian-assadi is licensed to practice in Massachusetts (license number 216492) 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 1609863091.

Contact Information

	Dr Mina Moussavian-assadi, MD
	5525 Etiwanda Ave, #212, Tarzana, CA 91356-3647
	(818) 721-2400
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Mina Moussavian-assadi
Gender	Female
Speciality	Pediatrics
Location	5525 Etiwanda Ave, Tarzana, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609863091
Provider Enumeration Date: 09/30/2005
Last Update Date: 08/02/2016

Medicare PECOS Information:

PECOS PAC ID: 6800185596
Enrollment ID: I20160519001350

Medical Identifiers

Medical identifiers for Dr Mina Moussavian-assadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609863091	NPI	-	NPPES
2001110	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	216492 (Massachusetts)	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. Dr Mina Moussavian-assadi allows following entities to bill medicare on her behalf.

Entity Name	Providence Facey Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710031588 PECOS PAC ID: 3173436276 Enrollment ID: O20031105000822

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 Mina Moussavian-assadi 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 Mina Moussavian-assadi, MD Po Box 9602, Mission Hills, CA 91346-9602 Ph: (818) 837-5559	Dr Mina Moussavian-assadi, MD 5525 Etiwanda Ave, #212, Tarzana, CA 91356-3647 Ph: (818) 721-2400

Reviews and Comments

Pediatrics Doctors in Tarzana, CA

Linda Lea Perl Adatto, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite 307, Tarzana, CA 91356 Phone: 818-996-6000 Fax: 818-996-4712
Dr. Larry Eisenberg, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 18372 Clark St, #216, Tarzana, CA 91356 Phone: 818-705-8559 Fax: 818-705-6475
Jennifer Levy, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800
Anita Giselle Wright, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4003 Clarinda Dr, Tarzana, CA 91356 Phone: 818-262-0949
Breahn Faye-merie Donaldson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18555 Ventura Blvd Ste B, Tarzana, CA 91356 Phone: 818-614-3088
Malik Oscar White, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 18321 Clark St, Tarzana, CA 91356 Phone: 818-881-0800
Monica P Kandavel, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 18370 Burbank Blvd, Suite 307, Tarzana, CA 91356 Phone: 818-996-6000 Fax: 818-996-4712

Dr Mina Moussavian-assadi, MD - Medicare Pediatrics in Tarzana, CA