Dr Charles Brent Wasserman Sr, PH D in Northridge, CA

Dr Charles Brent Wasserman Sr, PH D is a medicare enrolled "Psychologist - Clinical" provider in Northridge, California. His current practice location is 19542 Mayall St, Northridge, California. You can reach out to his office (for appointments etc.) via phone at (818) 718-9705.

Dr Charles Brent Wasserman Sr is licensed to practice in California (license number PSY5722) 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 1659361731.

Contact Information

	Dr Charles Brent Wasserman Sr, PH D
	19542 Mayall St, Northridge, CA 91324-1014
	(818) 718-9705
	(818) 718-2276

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Charles Brent Wasserman Sr
Gender	Male
Speciality	Psychologist - Clinical
Location	19542 Mayall St, Northridge, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659361731
Provider Enumeration Date: 10/28/2005
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5698765485
Enrollment ID: I20040513001445

Medical Identifiers

Medical identifiers for Dr Charles Brent Wasserman Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659361731	NPI	-	NPPES
00PL57220	Medicaid	CA
00PL57220	Other	CA	LOS ANGELES COUNTY DMH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY5722 (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. Dr Charles Brent Wasserman Sr allows following entities to bill medicare on his behalf.

Entity Name	Jaime Elizabeth Medvene Phd A Professional Psychological Corpora
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306084272 PECOS PAC ID: 7911063201 Enrollment ID: O20090312000135

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. Dr Charles Brent Wasserman Sr 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
Dr Charles Brent Wasserman Sr, PH D 19542 Mayall St, Northridge, CA 91324-1014 Ph: (818) 718-9705	Dr Charles Brent Wasserman Sr, PH D 19542 Mayall St, Northridge, CA 91324-1014 Ph: (818) 718-9705

Reviews and Comments

Psychologist in Northridge, CA

Dr. Peter John Adler, ED.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17075 Devonshire St Ste 204, Northridge, CA 91325 Phone: 310-284-4893
Dr. Larry E Gaines, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 19449 Singing Hills Dr, Northridge, CA 91326 Phone: 818-360-1514
Dr. Sherri A.c. Tanferani, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8860 Corbin Ave, #175, Northridge, CA 91324 Phone: 818-993-5730
Esmeralda Adolf, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9650 Zelzah Ave, Northridge, CA 91325 Phone: 818-993-9311
Anett Abrahamian Assilian, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 18917 Nordhoff St Ste 18, Northridge, CA 91324 Phone: 818-419-9341
Dr. Michael Robert Pines, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9010 Reseda Blvd, Suite 217, Northridge, CA 91324 Phone: 818-983-6359
Dr. Stacey Ann Cohen-maitre, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18421 Sandringham Ct, Northridge, CA 91326 Phone: 818-987-8320 Fax: 818-832-1050

Dr Charles Brent Wasserman Sr, PH D - Medicare Psychologist in Northridge, CA