Dr Golta Rasouli, MD is a medicare enrolled "Phlebology" physician in Venice, Florida. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Rejuva Dermatology And Vein Center, Pllc and her current practice location is
395 Commercial Ct Ste C, Venice, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 529-0070.
Dr Golta Rasouli is licensed to practice in Florida (license number ME145594) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154765667.
Physician's Profile
| Full Name | Dr Golta Rasouli |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 11 Years |
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| Location | 395 Commercial Ct Ste C, Venice, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Golta Rasouli graduated from medical school in 2013
NPI Data:
- NPI Number: 1154765667
- Provider Enumeration Date: 04/26/2013
- Last Update Date: 08/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880900729
- Enrollment ID: I20200811002659
Medical Identifiers
Medical identifiers for Dr Golta Rasouli such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154765667 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | ME145594 (Florida) | Secondary |
| 207R00000X | Internal Medicine | ME145594 (Florida) | Secondary |
| 202K00000X | Phlebology | ME145594 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Rejuva Dermatology And Vein Center, Pllc | 3173932548 | 3 |
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 Golta Rasouli allows following entities to bill medicare on her behalf.
| Entity Name | Rejuva Dermatology & Vein Center, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316522691
PECOS PAC ID: 3173932548
Enrollment ID: O20210514002045 |
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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 Golta Rasouli 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 Golta Rasouli, MD
2389 E Venice Ave Unit 510,
Venice, FL 34292-2465
Ph: (941) 529-0070 | Dr Golta Rasouli, MD
395 Commercial Ct Ste C,
Venice, FL 34292-1651
Ph: (941) 529-0070 |
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