Dorna Rowshanrad, NP in Woodland Hills, CA - Medicare Nurse Practitioner

Dorna Rowshanrad, NP is a medicare enrolled "Nurse Practitioner - Family" in Woodland Hills, California. Her current practice location is 5926 Le Sage Ave, Woodland Hills, California. You can reach out to her office (for appointments etc.) via phone at (818) 912-1406.

Dorna Rowshanrad is licensed to practice in California (license number 95009942) 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 1417510504.

Contact Information

	Dorna Rowshanrad, NP
	5926 Le Sage Ave, Woodland Hills, CA 91367-5927
	(818) 912-1406
	Not Available

Map and Direction

Provider's Profile

Full Name	Dorna Rowshanrad
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5926 Le Sage Ave, Woodland Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417510504
Provider Enumeration Date: 04/15/2019
Last Update Date: 04/15/2019

Medicare PECOS Information:

PECOS PAC ID: 5991179822
Enrollment ID: I20230316000866

Medical Identifiers

Medical identifiers for Dorna Rowshanrad such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417510504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95009942 (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. Dorna Rowshanrad allows following entities to bill medicare on her behalf.

Entity Name	Yofi Ketamine Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679236996 PECOS PAC ID: 4880084433 Enrollment ID: O20211214001525

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. Dorna Rowshanrad 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
Dorna Rowshanrad, NP 5926 Le Sage Ave, Woodland Hills, CA 91367-5927 Ph: (818) 912-1406	Dorna Rowshanrad, NP 5926 Le Sage Ave, Woodland Hills, CA 91367-5927 Ph: (818) 912-1406

Reviews and Comments

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Dorna Rowshanrad, NP - Medicare Nurse Practitioner in Woodland Hills, CA