Dr Shahin Derboghossians, MD in Glendale, CA

Dr Shahin Derboghossians, MD is a medicare enrolled "Urology" physician in Glendale, California. His current practice location is 116 S Louise St, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (818) 507-4340.

Dr Shahin Derboghossians is licensed to practice in California (license number A42661) 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 1710915038.

Contact Information

	Dr Shahin Derboghossians, MD
	116 S Louise St, Glendale, CA 91205
	(818) 507-4340
	(818) 507-4308

Map and Direction

Physician's Profile

Full Name	Dr Shahin Derboghossians
Gender	Male
Speciality	Urology
Location	116 S Louise St, Glendale, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710915038
Provider Enumeration Date: 06/28/2006
Last Update Date: 01/17/2022

Medicare PECOS Information:

PECOS PAC ID: 6507025418
Enrollment ID: I20120314000072

Medical Identifiers

Medical identifiers for Dr Shahin Derboghossians such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710915038	NPI	-	NPPES
00A426610	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	A42661 (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 Shahin Derboghossians allows following entities to bill medicare on his behalf.

Entity Name	Shahin Derboghossians Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811207483 PECOS PAC ID: 5698934503 Enrollment ID: O20120313000637

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 Shahin Derboghossians 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 Shahin Derboghossians, MD 116 S Louise St, Glendale, CA 91205-1025 Ph: (818) 507-4340	Dr Shahin Derboghossians, MD 116 S Louise St, Glendale, CA 91205 Ph: (818) 507-4340

Reviews and Comments

Urology Doctors in Glendale, CA

Anup Shah, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1560 E Chevy Chase Dr Ste 325, Glendale, CA 91206 Phone: 818-630-8650
Dr. Carlton Francis Valvo, M. D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1808 Verdugo Blvd Ste 110, Glendale, CA 91208 Phone: 818-242-1932 Fax: 818-242-9462
Dr. Sze Ching Lee, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1560 E Chevy Chase Dr, #325, Glendale, CA 91206 Phone: 818-242-1144 Fax: 818-242-6948
Dr. Armen Derboghossians, M.D Urology Medicare: Accepting Medicare Assignments Practice Location: 116 S Louise St, Glendale, CA 91205 Phone: 818-507-4340
William Fredrick Reynolds, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1808 Verdugo Blvd, Suite 318, Glendale, CA 91208 Phone: 818-790-1278 Fax: 818-952-0134
Dr. Kamyar Yehudah Ebrahimi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1577 E Chevy Chase Dr Ste 100, Glendale, CA 91206 Phone: 818-246-3300 Fax: 818-246-3305

Dr Shahin Derboghossians, MD - Medicare Urology in Glendale, CA