Jodie Raffi, is a medicare enrolled "Dermatology" physician in Sylmar, California. Her current practice location is
14445 Olive View Dr, Sylmar, California. You can reach out to her office (for appointments etc.) via phone at
(747) 210-3000.
Jodie Raffi is licensed to practice in California (license number A178521) 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 1235768714.
Physician's Profile
Full Name | Jodie Raffi |
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Gender | Female |
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Speciality | Dermatology |
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Location | 14445 Olive View Dr, Sylmar, 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: 1235768714
- Provider Enumeration Date: 04/06/2020
- Last Update Date: 11/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719425529
- Enrollment ID: I20240812002099
Medical Identifiers
Medical identifiers for Jodie Raffi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235768714 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | A178521 (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. Jodie Raffi allows following entities to bill medicare on her behalf.
Entity Name | Providence Saint Johns Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518438712 PECOS PAC ID: 0840548624 Enrollment ID: O20180810000904 |
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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. Jodie Raffi 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 |
Jodie Raffi, 1064 N Hillcrest Rd, Beverly Hills, CA 90210-2613 Ph: (310) 933-2774 | Jodie Raffi, 14445 Olive View Dr, Sylmar, CA 91342-1437 Ph: (747) 210-3000 |
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