Rusudan Dediashvili, DC in Van Nuys, CA - Medicare Chiropractic Provider

Rusudan Dediashvili, DC is a medicare enrolled "Chiropractor" provider in Van Nuys, California. She graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Chiropractic. Her current practice location is 13760 Victory Blvd, Van Nuys, California. You can reach out to her office (for appointments etc.) via phone at (818) 922-7713.

Rusudan Dediashvili is licensed to practice in California (license number D.C. 25561) 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 1134311509.

Contact Information

	Rusudan Dediashvili, DC
	13760 Victory Blvd, Van Nuys, CA 91401-2324
	(818) 922-7713
	(323) 965-1411

Map and Direction

Healthcare Provider's Profile

Full Name	Rusudan Dediashvili
Gender	Female
Speciality	Chiropractic
Experience	27 Years
Location	13760 Victory Blvd, Van Nuys, California
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:

Rusudan Dediashvili graduated from medical school in 1997

NPI Data:

NPI Number: 1134311509
Provider Enumeration Date: 08/09/2007
Last Update Date: 09/18/2014

Medicare PECOS Information:

PECOS PAC ID: 2567429806
Enrollment ID: I20041218000148

Medical Identifiers

Medical identifiers for Rusudan Dediashvili such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134311509	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
111N00000X	Chiropractor	D.C. 25561 (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. Rusudan Dediashvili allows following entities to bill medicare on her behalf.

Provider Name	Rusudan Dediashvili Chiropractic Corp.
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770756892 PECOS PAC ID: 5294792529 Enrollment ID: O20041217000472

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. Rusudan Dediashvili 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
Rusudan Dediashvili, DC 13760 Victory Blvd, Van Nuys, CA 91401-2324 Ph: (818) 922-7713	Rusudan Dediashvili, DC 13760 Victory Blvd, Van Nuys, CA 91401-2324 Ph: (818) 922-7713

Reviews and Comments

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Rusudan Dediashvili, DC - Medicare Chiropractor in Van Nuys, CA