Ms Nazanin Adriana Kavoussi, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in New York, New York. She went to Fordham University School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Brave Medical Pc and her current practice location is
119 W 124th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 386-1798.
Ms Nazanin Adriana Kavoussi is licensed to practice in New York (license number 084192) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306186044.
Healthcare Provider's Profile
| Full Name | Ms Nazanin Adriana Kavoussi |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 119 W 124th St, New York, New York |
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| Accepts Medicare Assignments | Yes. She 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:
- Ms Nazanin Adriana Kavoussi attended and graduated from Fordham University School Of Medicine in 2012
NPI Data:
- NPI Number: 1306186044
- Provider Enumeration Date: 02/16/2013
- Last Update Date: 09/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 6608275037
- Enrollment ID: I20210604000596
Medical Identifiers
Medical identifiers for Ms Nazanin Adriana Kavoussi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1306186044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 28134 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 084192 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Brave Medical Pc | 2567882731 | 8 |
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. Ms Nazanin Adriana Kavoussi allows following entities to bill medicare on her behalf.
| Entity Name | Brave Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902415318
PECOS PAC ID: 2567882731
Enrollment ID: O20201009001446 |
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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. Ms Nazanin Adriana Kavoussi 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 |
|---|
Ms Nazanin Adriana Kavoussi, LCSW, CASAC
119 W 124th St,
New York, NY 10027-4920
Ph: (917) 386-1798 | Ms Nazanin Adriana Kavoussi, LCSW, CASAC
119 W 124th St,
New York, NY 10027-4920
Ph: (917) 386-1798 |
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