Marat Nadirovich Shamsutdinov, MD in Reseda, CA

Marat Nadirovich Shamsutdinov, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Reseda, California. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 18040 Sherman Way, Reseda, California. You can reach out to his office (for appointments etc.) via phone at (818) 758-1236.

Marat Nadirovich Shamsutdinov is licensed to practice in California (license number A136394) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578976981.

Contact Information

	Marat Nadirovich Shamsutdinov, MD
	18040 Sherman Way, Reseda, CA 91335-4631
	(818) 758-1236
	Not Available

Map and Direction

Physician's Profile

Full Name	Marat Nadirovich Shamsutdinov
Gender	Male
Speciality	Psychiatry
Experience	14 Years
Location	18040 Sherman Way, Reseda, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Marat Nadirovich Shamsutdinov graduated from medical school in 2010

NPI Data:

NPI Number: 1578976981
Provider Enumeration Date: 06/04/2014
Last Update Date: 11/22/2021

Medicare PECOS Information:

PECOS PAC ID: 0648589317
Enrollment ID: I20151020000848

Medical Identifiers

Medical identifiers for Marat Nadirovich Shamsutdinov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578976981	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	278379-1 (New York)	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	MD453570 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0804X	Psychiatry & Neurology - Child & Adolescent Psychiatry	A136394 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Marat Nadirovich Shamsutdinov allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Marat Nadirovich Shamsutdinov 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
Marat Nadirovich Shamsutdinov, MD 18040 Sherman Way, Reseda, CA 91335-4631 Ph: (818) 758-1236	Marat Nadirovich Shamsutdinov, MD 18040 Sherman Way, Reseda, CA 91335-4631 Ph: (818) 758-1236

Reviews and Comments

Psychiatry & Neurology Doctors in Reseda, CA

Dr. Sheenie Ambardar, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Kaiser Permanente Sherman Terrace Medical Offices, Reseda, CA 91335 Phone: 818-758-1200
Honey Harriet Pietruszka, PSY.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19234 Vanowen St, Reseda, CA 91335 Phone: 310-278-1933 Fax: 310-385-8747
Dr. Mary Kathleen Igo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-883-9941 Fax: 818-346-4253
Dr. Meredith A Hannan, MD, PHD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 19231 Victory Blvd Ste 110, Reseda, CA 91335 Phone: 818-708-4500
Dr. Elsa Kristen Haloman, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 800-700-8705
Dr. Laurence Adam Glasser, M.D., M.P.H. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd, 110, Reseda, CA 91335 Phone: 818-708-4500 Fax: 818-654-1956
Dr. Dan R Bennett, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 18040 Sherman Way, Reseda, CA 91335 Phone: 818-758-1200 Fax: 818-758-1356

Marat Nadirovich Shamsutdinov, MD - Medicare Psychiatry in Reseda, CA