Yulia Koba Antoniadou, PSYD in Torrance, CA - Medicare Psychologist Provider

Yulia Koba Antoniadou, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Torrance, California. Her current practice location is 3812 Sepulveda Blvd, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (310) 388-7770.

Yulia Koba Antoniadou is licensed to practice in California (license number 30144) 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 1053746297.

Contact Information

	Yulia Koba Antoniadou, PSYD
	3812 Sepulveda Blvd, Torrance, CA 90505-2413
	(310) 388-7770
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Yulia Koba Antoniadou
Gender	Female
Speciality	Psychologist - Clinical
Location	3812 Sepulveda Blvd, Torrance, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053746297
Provider Enumeration Date: 09/06/2013
Last Update Date: 04/22/2020

Medicare PECOS Information:

PECOS PAC ID: 5294155545
Enrollment ID: I20201026002661

Medical Identifiers

Medical identifiers for Yulia Koba Antoniadou such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053746297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	30144 (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. Yulia Koba Antoniadou allows following entities to bill medicare on her behalf.

Entity Name	Koba Psychological Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992329627 PECOS PAC ID: 4385064633 Enrollment ID: O20201026002575

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. Yulia Koba Antoniadou 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
Yulia Koba Antoniadou, PSYD 3812 Sepulveda Blvd, Torrance, CA 90505-4883 Ph: (323) 478-8200	Yulia Koba Antoniadou, PSYD 3812 Sepulveda Blvd, Torrance, CA 90505-2413 Ph: (310) 388-7770

Reviews and Comments

Psychologist in Torrance, CA

Mrs. Megan Kay Higinbotham, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 25550 Hawthorne Blvd Ste 316, Torrance, CA 90505 Phone: 424-757-4344
Stanley Chow, M.A. Psychologist Medicare: Medicare Enrolled Practice Location: 2325 Crenshaw Blvd, Icat/dmh, Torrance, CA 90501 Phone: 310-972-3337
Dr. Nourit H Korzennik, PH D Psychologist Medicare: Medicare Enrolled Practice Location: 24050 Madison St, Suite 100-c, Torrance, CA 90505 Phone: 310-378-7333
Dale Stuart, PH.D., SC.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3510 Torrance Blvd, Suite 100, Torrance, CA 90503 Phone: 310-371-3543
Miss Erin Shea Linn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4025 W 226th St, Torrance, CA 90505 Phone: 310-373-4556
Dr. Jessica Lee, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3838 W Carson St, Suite 333, Torrance, CA 90503 Phone: 310-560-9335
Debra P Morales, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24050 Madison St, Suite 211, Torrance, CA 90505 Phone: 310-375-5103 Fax: 480-393-5038

Yulia Koba Antoniadou, PSYD - Medicare Psychologist in Torrance, CA