Banafsheh Mazloumi, FNP-BC in Chatsworth, CA - Medicare Nurse Practitioner

Banafsheh Mazloumi, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Chatsworth, California. Her current practice location is 21166 W Canyon View Pl, Chatsworth, California. You can reach out to her office (for appointments etc.) via phone at (818) 339-7416.

Banafsheh Mazloumi is licensed to practice in California (license number 95026558) 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 1114799608.

Contact Information

	Banafsheh Mazloumi, FNP-BC
	21166 W Canyon View Pl, Chatsworth, CA 91311-1369
	(818) 339-7416
	Not Available

Map and Direction

Provider's Profile

Full Name	Banafsheh Mazloumi
Gender	Female
Speciality	Nurse Practitioner - Family
Location	21166 W Canyon View Pl, Chatsworth, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114799608
Provider Enumeration Date: 10/27/2023
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9638528821
Enrollment ID: I20231213002360

Medical Identifiers

Medical identifiers for Banafsheh Mazloumi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114799608	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026558 (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. Banafsheh Mazloumi allows following entities to bill medicare on her behalf.

Entity Name	Socal Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174123038 PECOS PAC ID: 9436558954 Enrollment ID: O20210602002768

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. Banafsheh Mazloumi 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
Banafsheh Mazloumi, FNP-BC 21166 W Canyon View Pl, Chatsworth, CA 91311-1369 Ph: (818) 339-7416	Banafsheh Mazloumi, FNP-BC 21166 W Canyon View Pl, Chatsworth, CA 91311-1369 Ph: (818) 339-7416

Reviews and Comments

Nurse Practitioner Nurses in Chatsworth, CA

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Rahnesha Champagne White, MSN,APRN,FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9254 Winnetka Ave Apt 301, Chatsworth, CA 91311 Phone: 818-290-1327
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Banafsheh Mazloumi, FNP-BC - Medicare Nurse Practitioner in Chatsworth, CA