Dr Manijeh Boustani, PHD in Wilson, NC - Medicare Clinical Psychologist Provider

Dr Manijeh Boustani, PHD is a medicare enrolled "Psychologist" provider in Wilson, North Carolina. She graduated from medical school in 1987 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Psychological Mobile Services, Pa and her current practice location is 2401 Wooten Blvd Sw Ste K, Wilson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 291-0735.

Dr Manijeh Boustani is licensed to practice in North Carolina (license number 1456) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134215031.

Contact Information

	Dr Manijeh Boustani, PHD
	2401 Wooten Blvd Sw Ste K, Wilson, NC 27893-4464
	(252) 291-0735
	(252) 291-2890

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Manijeh Boustani
Gender	Female
Speciality	Clinical Psychologist
Experience	38 Years
Location	2401 Wooten Blvd Sw Ste K, Wilson, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Manijeh Boustani graduated from medical school in 1987

NPI Data:

NPI Number: 1134215031
Provider Enumeration Date: 10/05/2006
Last Update Date: 09/20/2018

Medicare PECOS Information:

PECOS PAC ID: 3678676525
Enrollment ID: I20070313000570

Medical Identifiers

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

Identifier	Type	State	Issuer
1134215031	NPI	-	NPPES
6000721	Medicaid	NC
6000563	Medicaid	NC
0416L	Other	NC	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1456 (North Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychological Mobile Services, Pa	9931349040	2

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 Manijeh Boustani allows following entities to bill medicare on her behalf.

Entity Name	Psychological Mobile Services, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104179340 PECOS PAC ID: 9931349040 Enrollment ID: O20130715000346

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 Manijeh 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 Manijeh Boustani, PHD 608 Penncross Dr, Raleigh, NC 27610-2177 Ph: (919) 656-3589	Dr Manijeh Boustani, PHD 2401 Wooten Blvd Sw Ste K, Wilson, NC 27893-4464 Ph: (252) 291-0735

Reviews and Comments

Psychologist in Wilson, NC

Ms. Shartra Sylivant, M.A., L.P.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Gold St Ne, Wilson, NC 27893 Phone: 252-206-4232
Mrs. Allison Hope Skinner, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2610 Westminster Dr Nw, Wilson, NC 27896 Phone: 252-320-6642
Cameron Kirkland Collins, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2261 Nash St Nw, Wilson, NC 27896 Phone: 252-237-8403
Dr. Robert D Gregory, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2401 Wooten Blvd Sw, Suite K, Wilson, NC 27893 Phone: 252-291-0735 Fax: 252-291-2890
Dr. Eddie Stuart Tessnear, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2403 Wooten Blvd Sw, Suite E, Wilson, NC 27893 Phone: 252-291-1100
Mr. Paul J Speziale, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2401 Wooten Blvd Sw, Suite K, Wilson, NC 27893 Phone: 252-230-0293 Fax: 252-291-2890

Dr Manijeh Boustani, PHD - Medicare Psychologist in Wilson, NC