Mrs Mine Moosakhanian, FNP-C in Simi Valley, CA

Mrs Mine Moosakhanian, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Simi Valley, California. Her current practice location is 2755 Alamo St Ste 101, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at (805) 210-7280.

Mrs Mine Moosakhanian is licensed to practice in California (license number 95022366) 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 1881310761.

Contact Information

	Mrs Mine Moosakhanian, FNP-C
	2755 Alamo St Ste 101, Simi Valley, CA 93065-1311
	(805) 210-7280
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mine Moosakhanian
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	2755 Alamo St Ste 101, Simi Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881310761
Provider Enumeration Date: 10/13/2022
Last Update Date: 10/13/2022

Medicare PECOS Information:

PECOS PAC ID: 4284095019
Enrollment ID: I20230726003030

Medical Identifiers

Medical identifiers for Mrs Mine Moosakhanian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881310761	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95022366 (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. Mrs Mine Moosakhanian allows following entities to bill medicare on her behalf.

Entity Name	Simi Medical Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346768025 PECOS PAC ID: 8820351786 Enrollment ID: O20180406001689

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. Mrs Mine Moosakhanian 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
Mrs Mine Moosakhanian, FNP-C 10160 Fernglen Ave Apt 2, Tujunga, CA 91042-4004 Ph: (818) 726-7839	Mrs Mine Moosakhanian, FNP-C 2755 Alamo St Ste 101, Simi Valley, CA 93065-1311 Ph: (805) 210-7280

Reviews and Comments

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Mrs Mine Moosakhanian, FNP-C - Medicare Nurse Practitioner in Simi Valley, CA