Maryam Soroudi, NP is a medicare enrolled "Clinical Nurse Specialist - Perinatal" in Van Nuys, California. Her current practice location is
13750 Victory Blvd, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at
(818) 909-9955.
Maryam Soroudi is licensed to practice in California (license number RN423710) 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 1285828525.
Provider's Profile
| Full Name | Maryam Soroudi |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Perinatal |
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| Location | 13750 Victory Blvd, Van Nuys, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285828525
- Provider Enumeration Date: 08/29/2007
- Last Update Date: 08/29/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204259773
- Enrollment ID: I20200701001166
Medical Identifiers
Medical identifiers for Maryam Soroudi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285828525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP1700X | Clinical Nurse Specialist - Perinatal | RN423710 (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. Maryam Soroudi allows following entities to bill medicare on her behalf.
| Entity Name | Center For Family Health And Education Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871853481
PECOS PAC ID: 3678714201
Enrollment ID: O20130724000805 |
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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. Maryam Soroudi 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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Maryam Soroudi, NP
13750 Victory Blvd,
Van Nuys, CA 91401-2324
Ph: (818) 909-9955 | Maryam Soroudi, NP
13750 Victory Blvd,
Van Nuys, CA 91401-2324
Ph: (818) 909-9955 |
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