Shirin Ghannadi, PSYD in Atascadero, CA - Medicare Psychologist Provider

Shirin Ghannadi, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Atascadero, California. Her current practice location is 10333 El Camino Real, Atascadero, California. You can reach out to her office (for appointments etc.) via phone at (805) 468-2000.

Shirin Ghannadi is licensed to practice in California (license number 29323) 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 1194008276.

Contact Information

	Shirin Ghannadi, PSYD
	10333 El Camino Real, Atascadero, CA 93422-5808
	(805) 468-2000
	(805) 466-6011

Map and Direction

Healthcare Provider's Profile

Full Name	Shirin Ghannadi
Gender	Female
Speciality	Psychologist - Clinical
Location	10333 El Camino Real, Atascadero, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194008276
Provider Enumeration Date: 09/24/2011
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2163796053
Enrollment ID: I20170915000706

Medical Identifiers

Medical identifiers for Shirin Ghannadi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194008276	NPI	-	NPPES
00A777971	Other	CA	MEDICARE IN - TYPE UNSPECIFIED
H59376	Other	CA	MEDICARE UPIN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	29323 (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. Shirin Ghannadi allows following entities to bill medicare on her behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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. Shirin Ghannadi 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
Shirin Ghannadi, PSYD 1600 9th St Ste 150, Sacramento, CA 95814-6476 Ph: (916) 651-9476	Shirin Ghannadi, PSYD 10333 El Camino Real, Atascadero, CA 93422-5808 Ph: (805) 468-2000

Reviews and Comments

Psychologist in Atascadero, CA

Jeffrey Franz Teuber, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011
Dr. Timothy Edward Nastasi, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000 Fax: 805-468-2000
Gina Marie Najolia, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2000
Emily Rosten, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93423 Phone: 805-468-2000 Fax: 805-466-6011
Darren Kenneth Smith, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-2170
Dr. Kevin M Perry, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10333 El Camino Real, Atascadero, CA 93422 Phone: 805-468-3757
Suzanne C Maclelland, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7305 Morro Rd Ste 201, Atascadero, CA 93422 Phone: 805-203-6421

Shirin Ghannadi, PSYD - Medicare Psychologist in Atascadero, CA