Dr Mindia Gabichvadze, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Beverly Hills, California. His current practice location is
9713 Santa Monica Blvd Ste 201, Beverly Hills, California. You can reach out to his office (for appointments etc.) via phone at
(310) 564-5400.
Dr Mindia Gabichvadze is licensed to practice in California (license number PSY34139) 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 1063747137.
Healthcare Provider's Profile
| Full Name | Dr Mindia Gabichvadze |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Neuropsychologist |
|---|
| Location | 9713 Santa Monica Blvd Ste 201, Beverly Hills, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1063747137
- Provider Enumeration Date: 10/07/2009
- Last Update Date: 07/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294059499
- Enrollment ID: I20230414001707
Medical Identifiers
Medical identifiers for Dr Mindia Gabichvadze such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063747137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY34139 (California) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY34139 (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 Mindia Gabichvadze allows following entities to bill medicare on his behalf.
| Entity Name | Medens Health |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1003431784
PECOS PAC ID: 4880014877
Enrollment ID: O20210706002574 |
|---|
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 Mindia Gabichvadze 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 Mindia Gabichvadze, PSYD
9713 Santa Monica Blvd Ste 201,
Beverly Hills, CA 90210-4236
Ph: (310) 564-5400 | Dr Mindia Gabichvadze, PSYD
9713 Santa Monica Blvd Ste 201,
Beverly Hills, CA 90210-4236
Ph: (310) 564-5400 |
Reviews and Comments