Mastaneh Nikravesh, MD - Medicare Pain Medicine in La Mesa, CA

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Mastaneh Nikravesh, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in La Mesa, California. Her current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 740-6000.

Mastaneh Nikravesh is licensed to practice in California (license number A176795) 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 1508429143.

Contact Information

Mastaneh Nikravesh, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019
(619) 740-6000
Not Available

Map and Direction




Physician's Profile

Full NameMastaneh Nikravesh
GenderFemale
SpecialityPain Medicine - Pain Medicine
Location5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508429143
  • Provider Enumeration Date: 04/18/2019
  • Last Update Date: 03/11/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2961863881
  • Enrollment ID: I20241205002015

Medical Identifiers

Medical identifiers for Mastaneh Nikravesh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508429143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A176795 (California)Secondary
2083A0300XPreventive Medicine - Addiction Medicine A176795 (California)Secondary
208VP0000XPain Medicine - Pain Medicine A176795 (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. Mastaneh Nikravesh allows following entities to bill medicare on her behalf.
Entity NameGundersen Lutheran Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225873458
PECOS PAC ID: 2163331414
Enrollment ID: O20130619000254

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. Mastaneh Nikravesh 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 AddressPractice Location Address
Mastaneh Nikravesh, MD
600 1st Ave Ste 102-2405,
Seattle, WA 98104-2210

Ph: () -		Mastaneh Nikravesh, MD
5555 Grossmont Center Dr,
La Mesa, CA 91942-3019

Ph: (619) 740-6000

Reviews and Comments


Pain Medicine Doctors in La Mesa, CA

Dr. William Le Roy Wilson, M.D.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5565 Grossmont Center Dr, Bldg. 3, Suite 540, La Mesa, CA 91942
Phone: 619-460-2700    Fax: 619-460-2702

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.