Mandy Darafeev, in Pasadena, CA - Medicare Physical Therapist Provider

Mandy Darafeev, is a medicare enrolled "Physical Therapist" provider in Pasadena, California. Her current practice location is 111 S Hudson Ave, Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (626) 683-8536.

Mandy Darafeev is licensed to practice in California (license number 303745) 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 1922707108.

Contact Information

	Mandy Darafeev,
	111 S Hudson Ave, Pasadena, CA 91101-2606
	(626) 683-8536
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mandy Darafeev
Gender	Female
Speciality	Physical Therapist
Location	111 S Hudson Ave, Pasadena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922707108
Provider Enumeration Date: 02/27/2023
Last Update Date: 03/01/2023

Medicare PECOS Information:

PECOS PAC ID: 1759756547
Enrollment ID: I20230410000528

Medical Identifiers

Medical identifiers for Mandy Darafeev such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922707108	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	303745 (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. Mandy Darafeev allows following entities to bill medicare on her behalf.

Provider Name	Evergreen Physical Therapy Specialists Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1346300670 PECOS PAC ID: 9537111745 Enrollment ID: O20050216000414

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. Mandy Darafeev 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
Mandy Darafeev, 350 E Del Mar Blvd Apt 223, Pasadena, CA 91101-2754 Ph: (626) 922-7777	Mandy Darafeev, 111 S Hudson Ave, Pasadena, CA 91101-2606 Ph: (626) 683-8536

Reviews and Comments

Physical Therapist in Pasadena, CA

Stephany Tritt, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1158 E Colorado Blvd, Pasadena, CA 91106 Phone: 323-314-3415 Fax: 323-982-9018
Tiffany Lorraine Waniczek-nowicki, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105 Phone: 626-683-8536
Trenton Nakama, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 1224 E Green St Fl 2, Pasadena, CA 91106 Phone: 626-356-4948
Vincent Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2615 E Washington Blvd, Pasadena, CA 91107 Phone: 626-798-5074 Fax: 626-798-3210
Andrew Cotham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 Alessandro Pl, Suite A40, Pasadena, CA 91105 Phone: 323-401-1935
Dr. Cameron Michael Hofer, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 801 S Raymond Ave, Pasadena, CA 91105 Phone: 626-356-0599
Ms. Salwa Seif El Deen Abdell Aal, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 E Walnut St, Suite A, Pasadena, CA 91106 Phone: 626-683-9959 Fax: 626-683-9969

Mandy Darafeev, - Medicare Physical Therapist in Pasadena, CA