Todd Nathan, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Los Angeles, California. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Noalab Clinic Inc and his current practice location is
1920 Marengo St., Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(310) 945-3350.
Todd Nathan is licensed to practice in California (license number 21812) 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 1861734428.
Healthcare Provider's Profile
| Full Name | Todd Nathan |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 1920 Marengo St., Los Angeles, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Todd Nathan graduated from medical school in 2012
NPI Data:
- NPI Number: 1861734428
- Provider Enumeration Date: 03/21/2013
- Last Update Date: 07/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 1951525831
- Enrollment ID: I20140616001525
Medical Identifiers
Medical identifiers for Todd Nathan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861734428 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | 16777 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 21812 (California) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 21812 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Noalab Clinic Inc | 8325424765 | 3 |
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. Todd Nathan allows following entities to bill medicare on his behalf.
| Provider Name | Fawzy Basta M D A Professional Corporation |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1508932500
PECOS PAC ID: 4880639814
Enrollment ID: O20050621000763 |
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| Provider Name | And Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1447679774
PECOS PAC ID: 7315161866
Enrollment ID: O20140624001406 |
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| Provider Name | Noalab Clinic Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1649805508
PECOS PAC ID: 8325424765
Enrollment ID: O20221007001758 |
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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. Todd Nathan 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 |
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Todd Nathan, NP
1920 Marengo St.,
Los Angeles, CA 90033
Ph: (310) 945-3350 | Todd Nathan, NP
1920 Marengo St.,
Los Angeles, CA 90033
Ph: (310) 945-3350 |
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