Tiffany Ju, is a medicare enrolled "Psychologist - Clinical" physician in Santa Monica, California. Her current practice location is
1223 16th St Ste 3100, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at
(310) 582-6240.
Tiffany Ju is licensed to practice in California (license number 35427) 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 1033786645.
Physician's Profile
| Full Name | Tiffany Ju |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1223 16th St Ste 3100, Santa Monica, 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: 1033786645
- Provider Enumeration Date: 06/10/2021
- Last Update Date: 05/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092238147
- Enrollment ID: I20250328002436
Medical Identifiers
Medical identifiers for Tiffany Ju such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033786645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RG0100X | Internal Medicine - Gastroenterology | 35427 (California) | Secondary |
| 103TC0700X | Psychologist - Clinical | 35427 (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. Tiffany Ju allows following entities to bill medicare on her behalf.
| Entity Name | The Regents Of The University Of California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235107566
PECOS PAC ID: 1355248584
Enrollment ID: O20031223000439 |
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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. Tiffany Ju 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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Tiffany Ju,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90095-5631
Ph: (310) 301-8707 | Tiffany Ju,
1223 16th St Ste 3100,
Santa Monica, CA 90404-1275
Ph: (310) 582-6240 |
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