Ali Khadivi, PHD in Bronx, NY - Medicare Psychologist Provider

Ali Khadivi, PHD is a medicare enrolled "Psychologist - Clinical" provider in Bronx, New York. His current practice location is 1276 Fulton Ave, 4 South, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 901-8889.

Ali Khadivi is licensed to practice in New York (license number 011060-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1861523631.

Contact Information

	Ali Khadivi, PHD
	1276 Fulton Ave, 4 South, Bronx, NY 10456-3402
	(718) 901-8889
	(718) 466-6060

Map and Direction

Healthcare Provider's Profile

Full Name	Ali Khadivi
Gender	Male
Speciality	Psychologist - Clinical
Location	1276 Fulton Ave, Bronx, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861523631
Provider Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7214213685
Enrollment ID: I20170419001695

Medical Identifiers

Medical identifiers for Ali Khadivi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861523631	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	011060-1 (New York)	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. Ali Khadivi allows following entities to bill medicare on his behalf.

Entity Name	Bronxcare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245390855 PECOS PAC ID: 3870404429 Enrollment ID: O20040526001082

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. Ali Khadivi 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
Ali Khadivi, PHD 210 W 101st St, Ph-10, New York, NY 10025-5059 Ph: (212) 662-4704	Ali Khadivi, PHD 1276 Fulton Ave, 4 South, Bronx, NY 10456-3402 Ph: (718) 901-8889

Reviews and Comments

Psychologist in Bronx, NY

Dr. Steven Barbash, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2600 Netherland Ave, Suite 116, Bronx, NY 10463 Phone: 718-601-9161
Dr. Jeremy Silverman, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 130 W Kingsbridge Rd, Bronx, NY 10468 Phone: 718-584-9000
Dr. Joseph Lynch, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 420 W 255th St, Bronx, NY 10471 Phone: 917-576-7824
Marian Gail Silverman, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1731 Seminole Ave, Bronx, NY 10461 Phone: 718-430-8900 Fax: 718-892-4736
Dr. David Junowitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Sheridan Avenue, Bronx, NY 10451 Phone: 718-590-3416
Alan Supraner, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 Netherland Ave, 108, Bronx, NY 10463 Phone: 718-601-7227
Mrs. Zulai Munoz Montoya, M.S ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2866 Marion Ave Apt 1b, Bronx, NY 10458 Phone: 646-591-0884

Ali Khadivi, PHD - Medicare Psychologist in Bronx, NY