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

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 NameYulia Koba Antoniadou
GenderFemale
SpecialityPsychologist - Clinical
Location3812 Sepulveda Blvd, Torrance, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1053746297NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - 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 NameKoba Psychological Services Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.