Mr Mohammed Sufiyan Kagzi, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Venice, California. He graduated from healthcare school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Swedish Health Services, Sud Specialty Group - Ca and his current practice location is
204 Hampton Dr, Venice, California. You can reach out to his office (for appointments etc.) via phone at
(310) 396-6468.
Mr Mohammed Sufiyan Kagzi is licensed to practice in California (license number 107568) 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 1366937757.
Healthcare Provider's Profile
| Full Name | Mr Mohammed Sufiyan Kagzi |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 204 Hampton Dr, Venice, 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. |
Medical Education and Training:
- Mr Mohammed Sufiyan Kagzi graduated from medical school in 2018
NPI Data:
- NPI Number: 1366937757
- Provider Enumeration Date: 06/27/2018
- Last Update Date: 10/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294278610
- Enrollment ID: I20240613002850
Medical Identifiers
Medical identifiers for Mr Mohammed Sufiyan Kagzi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366937757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 84502 (California) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 107568 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Swedish Health Services | 0244138196 | 1051 |
| Sud Specialty Group - Ca | 9537534177 | 456 |
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. Mr Mohammed Sufiyan Kagzi allows following entities to bill medicare on his behalf.
| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20190122000790 |
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| Entity Name | Providence Health & Services Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194099390 PECOS PAC ID: 0345139929 Enrollment ID: O20190124002741 |
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| Entity Name | Providence Health & Services-washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20190204000924 |
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| Entity Name | Providence Health & Services-washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093956278 PECOS PAC ID: 1557408176 Enrollment ID: O20190211001543 |
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| Entity Name | Providence Health & Services - Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922259738 PECOS PAC ID: 2860552973 Enrollment ID: O20190503002359 |
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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. Mr Mohammed Sufiyan Kagzi 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 |
Mr Mohammed Sufiyan Kagzi, LCSW 4153 Milton Ave, Culver City, CA 90232-4054 Ph: (310) 954-7569 | Mr Mohammed Sufiyan Kagzi, LCSW 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 396-6468 |
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