Azadeh Ava Khamooshi, PSYD in El Cajon, CA - Medicare Counselor Provider

Azadeh Ava Khamooshi, PSYD is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in El Cajon, California. Her current practice location is 1400 N Johnson Ave Ste 101, El Cajon, California. You can reach out to her office (for appointments etc.) via phone at (619) 442-0277.

Azadeh Ava Khamooshi is licensed to practice in * (Not Available) (license number ) 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 1629717277.

Contact Information

	Azadeh Ava Khamooshi, PSYD
	1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651
	(619) 442-0277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Azadeh Ava Khamooshi
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1400 N Johnson Ave Ste 101, El Cajon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629717277
Provider Enumeration Date: 06/01/2022
Last Update Date: 06/01/2022

Medicare PECOS Information:

PECOS PAC ID: 4688199805
Enrollment ID: I20250421002371

Medical Identifiers

Medical identifiers for Azadeh Ava Khamooshi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629717277	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Azadeh Ava Khamooshi allows following entities to bill medicare on her behalf.

Entity Name	Pure Autism Counseling Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649737735 PECOS PAC ID: 4284967167 Enrollment ID: O20190607001200

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. Azadeh Ava Khamooshi 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
Azadeh Ava Khamooshi, PSYD 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 Ph: () -	Azadeh Ava Khamooshi, PSYD 1400 N Johnson Ave Ste 101, El Cajon, CA 92020-1651 Ph: (619) 442-0277

Reviews and Comments

Counselor in El Cajon, CA

Justyna M Sionek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 Ballantyne St, #305, El Cajon, CA 92020 Phone: 619-588-3653
Alejandro Valencia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1221 Emerald Ave, El Cajon, CA 92020 Phone: 619-593-4763
Craig Spotser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Roanoke Rd, El Cajon, CA 92020 Phone: 619-588-3653
Olivia Kozarev, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste I, El Cajon, CA 92021 Phone: 619-375-1733 Fax: 619-684-6078
Delane Yvonne Beaner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 N Johnson Ave, El Cajon, CA 92020 Phone: 619-445-2027
Baldivenia Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Broadway Ste 100, El Cajon, CA 92021 Phone: 619-401-5424
Yasmin A Farah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Broadway Ste 100, El Cajon, CA 92021 Phone: 619-401-5433

Azadeh Ava Khamooshi, PSYD - Medicare Counselor in El Cajon, CA