Nelly Nassar, is a medicare enrolled "Psychologist - Clinical" provider in Camarillo, California. Her current practice location is
771 E Daily Dr Ste 310, Camarillo, California. You can reach out to her office (for appointments etc.) via phone at
(805) 507-5549.
Nelly Nassar is licensed to practice in California (license number PSY23313) 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 1932358264.
Healthcare Provider's Profile
| Full Name | Nelly Nassar |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 771 E Daily Dr Ste 310, Camarillo, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1932358264
- Provider Enumeration Date: 09/10/2008
- Last Update Date: 05/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608182605
- Enrollment ID: I20150908000797
Medical Identifiers
Medical identifiers for Nelly Nassar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932358264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY23313 (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. Nelly Nassar allows following entities to bill medicare on her behalf.
| Entity Name | Growing Minds Psychological Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588068787
PECOS PAC ID: 3870817414
Enrollment ID: O20150130000916 |
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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. Nelly Nassar 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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Nelly Nassar,
771 E Daily Dr Ste 310,
Camarillo, CA 93010-0784
Ph: (805) 507-5549 | Nelly Nassar,
771 E Daily Dr Ste 310,
Camarillo, CA 93010-0784
Ph: (805) 507-5549 |
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