Blair Nicole Mostofi, RN in Panorama City, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Blair Nicole Mostofi, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Panorama City, California. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 13651 Willard St., Panorama City, California. You can reach out to her office (for appointments etc.) via phone at (818) 375-2000.

Blair Nicole Mostofi is licensed to practice in California (license number 4290) 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 1780947861.

Contact Information

	Blair Nicole Mostofi, RN
	13651 Willard St., Panorama City, CA 91402
	(818) 375-2000
	Not Available

Map and Direction

Provider's Profile

Full Name	Blair Nicole Mostofi
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	12 Years
Location	13651 Willard St., Panorama City, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blair Nicole Mostofi graduated from nursing school in 2012

NPI Data:

NPI Number: 1780947861
Provider Enumeration Date: 06/22/2012
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 9234383001
Enrollment ID: I20130201000070

Medical Identifiers

Medical identifiers for Blair Nicole Mostofi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780947861	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4290 (California)	Primary
163W00000X	Registered Nurse	0019716386 (California)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	8172

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. Blair Nicole Mostofi allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Blair Nicole Mostofi 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
Blair Nicole Mostofi, RN 108 S El Molino Ave, Unit 301, Pasadena, CA 91101-2583 Ph: (860) 519-3234	Blair Nicole Mostofi, RN 13651 Willard St., Panorama City, CA 91402 Ph: (818) 375-2000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Panorama City, CA

Loretta F Vejar, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Sandra K Bordi, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2391
Dr. Natalie Robins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 833-574-2273
Irene Jansen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Heather R Klein, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 13651 Willard St, Panorama City, CA 91402 Phone: 818-375-4100
Terry L Anton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 818-375-2000
Heidi Machen, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 13652 Cantara St, Panorama City, CA 91402 Phone: 833-574-2273

Blair Nicole Mostofi, RN - Medicare Certified Registered Nurse Anesthetist (crna) in Panorama City, CA