Peyman Gravori, is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Encino, California. He graduated from medical school in 2011 and has 15 years of diverse experience with area of expertise as Osteopathic Manipulative Medicine. His current practice location is
16311 Ventura Blvd Ste 1065-b, Encino, California. You can reach out to his office (for appointments etc.) via phone at
(310) 278-7000.
Peyman Gravori is licensed to practice in California (license number 14719) 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 1841615762.
Physician's Profile
| Full Name | Peyman Gravori |
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| Gender | Male |
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| Speciality | Osteopathic Manipulative Medicine |
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| Experience | 15 Years |
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| Location | 16311 Ventura Blvd Ste 1065-b, Encino, 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. |
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Medical Education and Training:
- Peyman Gravori graduated from medical school in 2011
NPI Data:
- NPI Number: 1841615762
- Provider Enumeration Date: 02/28/2014
- Last Update Date: 10/01/2019
Medicare PECOS Information:
- PECOS PAC ID: 4486942703
- Enrollment ID: I20161019000912
Medical Identifiers
Medical identifiers for Peyman Gravori such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841615762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 14719 (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. Peyman Gravori allows following entities to bill medicare on his behalf.
| Entity Name | In-line Medical Inc a Professional Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982123329
PECOS PAC ID: 5193060440
Enrollment ID: O20181214002009 |
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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. Peyman Gravori 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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Peyman Gravori,
16311 Ventura Blvd Ste 1065-b,
Encino, CA 91436-2124
Ph: (310) 278-7000 | Peyman Gravori,
16311 Ventura Blvd Ste 1065-b,
Encino, CA 91436-2124
Ph: (310) 278-7000 |
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