Mrs Yulia Kustova, PA in Los Angeles, CA - Medicare Physician Assistant

Mrs Yulia Kustova, PA is a medicare enrolled "Physician Assistant" in Los Angeles, California. Her current practice location is 2121 S San Pedro St Ste E, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 742-0300.

Mrs Yulia Kustova is licensed to practice in California (license number PA20749) 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 1003121203.

Contact Information

	Mrs Yulia Kustova, PA
	2121 S San Pedro St Ste E, Los Angeles, CA 90011-1161
	(213) 742-0300
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Yulia Kustova
Gender	Female
Speciality	Physician Assistant
Location	2121 S San Pedro St Ste E, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003121203
Provider Enumeration Date: 08/11/2010
Last Update Date: 06/15/2023

Medicare PECOS Information:

PECOS PAC ID: 8325330194
Enrollment ID: I20180130002583

Medical Identifiers

Medical identifiers for Mrs Yulia Kustova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003121203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA20749 (California)	Primary

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 Yulia Kustova 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 Yulia Kustova, PA 7000 Hawthorn Ave Apt 304, Los Angeles, CA 90028-6963 Ph: (323) 350-2220	Mrs Yulia Kustova, PA 2121 S San Pedro St Ste E, Los Angeles, CA 90011-1161 Ph: (213) 742-0300

Reviews and Comments

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Mrs Yulia Kustova, PA - Medicare Physician Assistant in Los Angeles, CA