Dr Ladan Boustani, in Newport Beach, CA - Medicare Psychologist Provider

Dr Ladan Boustani, is a medicare enrolled "Psychologist - Clinical" provider in Newport Beach, California. Her current practice location is 4685 Macarthur Ct Ste 340, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (888) 684-2779.

Dr Ladan Boustani is licensed to practice in California (license number 27962) 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 1174098974.

Contact Information

	Dr Ladan Boustani,
	4685 Macarthur Ct Ste 340, Newport Beach, CA 92660-1855
	(888) 684-2779
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ladan Boustani
Gender	Female
Speciality	Psychologist - Clinical
Location	4685 Macarthur Ct Ste 340, Newport Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174098974
Provider Enumeration Date: 10/08/2018
Last Update Date: 10/08/2018

Medicare PECOS Information:

PECOS PAC ID: 2163776691
Enrollment ID: I20181119002305

Medical Identifiers

Medical identifiers for Dr Ladan Boustani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174098974	NPI	-	NPPES
PSY27962	Other	CA	CLINICAL PSYCHOLOGIST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	27962 (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 Ladan Boustani allows following entities to bill medicare on her behalf.

Entity Name	Mellow Medical Inc A Professional Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407275886 PECOS PAC ID: 3375767403 Enrollment ID: O20140611002222

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 Ladan Boustani 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 Ladan Boustani, 12 Magnolia Dr, Ladera Ranch, CA 92694-0711 Ph: (949) 350-6416	Dr Ladan Boustani, 4685 Macarthur Ct Ste 340, Newport Beach, CA 92660-1855 Ph: (888) 684-2779

Reviews and Comments

Psychologist in Newport Beach, CA

Margaret Mary Decker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Dove St, Suite 140, Newport Beach, CA 92660 Phone: 949-922-1529 Fax: 949-809-5779
Dr. Paul T Depompo, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4060 Campus Dr, Suite 120, Newport Beach, CA 92660 Phone: 949-300-1952 Fax: 949-313-1723
Dr. Jacqueline A Josephson, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1400 Quail St Ste 136, Newport Beach, CA 92660 Phone: 510-686-3306
Ghada Al-seilawi, EDUCATIONAL PSYCHOLO Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 Dove St Ste 270, Newport Beach, CA 92660 Phone: 949-432-4815
Dr. Vance B Becker, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1451 Quail St, Ste 102, Newport Beach, CA 92660 Phone: 949-757-1113 Fax: 949-757-1114
Ms. Dana Emerson Basu, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 2549 Eastbluff Dr # 134, Newport Beach, CA 92660 Phone: 608-575-2111 Fax: 949-220-7004
Dr. Carey Sherilyn Incledon, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1101 Dove St Ste 190, Newport Beach, CA 92660 Phone: 949-630-0630 Fax: 949-688-5577

Dr Ladan Boustani, - Medicare Psychologist in Newport Beach, CA