Kimya Behrouzian, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Redwood City, California. Her current practice location is
1400 Veterans Blvd, Redwood City, California. You can reach out to her office (for appointments etc.) via phone at
(650) 299-4736.
Kimya Behrouzian is licensed to practice in * (Not Available) (license number ) 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 1255847414.
Healthcare Provider's Profile
Full Name | Kimya Behrouzian |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1400 Veterans Blvd, Redwood City, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1255847414
- Provider Enumeration Date: 12/22/2017
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810367711
- Enrollment ID: I20230111001407
Medical Identifiers
Medical identifiers for Kimya Behrouzian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255847414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 33393 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kimya Behrouzian allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | Tobias Moeller-bertram Md Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
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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. Kimya Behrouzian 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 |
Kimya Behrouzian, 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: (650) 299-2000 | Kimya Behrouzian, 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: (650) 299-4736 |
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