Panthea Razavi, in Nevada City, CA - Medicare Marriage & Family Therapist Provider

Panthea Razavi, is a medicare enrolled "Marriage & Family Therapist" provider in Nevada City, California. Her current practice location is 202 Providence Mine Rd Ste 105, Nevada City, California. You can reach out to her office (for appointments etc.) via phone at (530) 277-2046.

Panthea Razavi is licensed to practice in California (license number LMFT146475) 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 1891320131.

Contact Information

	Panthea Razavi,
	202 Providence Mine Rd Ste 105, Nevada City, CA 95959-2945
	(530) 277-2046
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Panthea Razavi
Gender	Female
Speciality	Marriage & Family Therapist
Location	202 Providence Mine Rd Ste 105, Nevada City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891320131
Provider Enumeration Date: 03/06/2020
Last Update Date: 07/25/2024

Medicare PECOS Information:

PECOS PAC ID: 4183154255
Enrollment ID: I20250205002606

Medical Identifiers

Medical identifiers for Panthea Razavi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891320131	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	LMFT146475 (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. Panthea Razavi allows following entities to bill medicare on her behalf.

Entity Name	Kindred Heart Therapy Group Nonprofit
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720689565 PECOS PAC ID: 7315477544 Enrollment ID: O20250204000447

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. Panthea Razavi 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
Panthea Razavi, Po Box 5653, Orange, CA 92863-5653 Ph: (949) 342-6803	Panthea Razavi, 202 Providence Mine Rd Ste 105, Nevada City, CA 95959-2945 Ph: (530) 277-2046

Reviews and Comments

Marriage & Family Therapist in Nevada City, CA

Maya Waterstar, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 Providence Mine Rd Ste 105, Nevada City, CA 95959 Phone: 530-277-2046
Julian Nolan Brock, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 Providence Mine Rd Ste 105, Nevada City, CA 95959 Phone: 530-277-2046
Kyla Dawn Roberts, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 582 Searls Ave, Nevada City, CA 95959 Phone: 415-717-8523
Scott Hapak, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 105 Providence Mine Rd Ste 205, Nevada City, CA 95959 Phone: 530-431-8074
James Clement, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24077 State Highway 49, Nevada City, CA 95959 Phone: 530-265-9057
Kathleen Marie Huckaby, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 24077 State Highway 49, Nevada City, CA 95959 Phone: 530-265-9057
Ms. Susan Wright, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 505 Coyote St, Suite C, Nevada City, CA 95959 Phone: 916-207-4873

Panthea Razavi, - Medicare Couples Therapy in Nevada City, CA