Bahar Moheban, PSYD in Los Angeles, CA - Medicare Psychologist Provider

Bahar Moheban, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is 5665 Wilshire Blvd # 1033, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (707) 872-7727.

Bahar Moheban is licensed to practice in California (license number PSY32421) 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 1700368479.

Contact Information

	Bahar Moheban, PSYD
	5665 Wilshire Blvd # 1033, Los Angeles, CA 90036-3710
	(707) 872-7727
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bahar Moheban
Gender	Female
Speciality	Psychologist - Clinical
Location	5665 Wilshire Blvd # 1033, 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: 1700368479
Provider Enumeration Date: 08/29/2018
Last Update Date: 12/03/2021

Medicare PECOS Information:

PECOS PAC ID: 1658734777
Enrollment ID: I20230822003861

Medical Identifiers

Medical identifiers for Bahar Moheban such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700368479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY32421 (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. Bahar Moheban allows following entities to bill medicare on her behalf.

Entity Name	California Women S Therapy Psychological Services Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912670613 PECOS PAC ID: 3375904659 Enrollment ID: O20230802003795

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. Bahar Moheban 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
Bahar Moheban, PSYD 5665 Wilshire Blvd # 1033, Los Angeles, CA 90036-3710 Ph: (707) 872-7727	Bahar Moheban, PSYD 5665 Wilshire Blvd # 1033, Los Angeles, CA 90036-3710 Ph: (707) 872-7727

Reviews and Comments

Psychologist in Los Angeles, CA

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Dr. Kara Lynn Hart, PSY,D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064 Phone: 310-871-7825 Fax: 310-478-6698
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Dr. Adam Vogel, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 621 S Virgil Ave, #300, Los Angeles, CA 90005 Phone: 213-368-5400

Bahar Moheban, PSYD - Medicare Psychologist in Los Angeles, CA