Macy Javaherifar, - Medicare Physician Assistant in Tarzana, CA

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Macy Javaherifar, is a medicare enrolled "Physician Assistant" in Tarzana, California. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Shine Mmg Inc, California Mobile Medical Group Inc, Aande Medical Group-a Professional Nursing Corporation and her current practice location is 5143 Lindley Ave, Tarzana, California. You can reach out to her office (for appointments etc.) via phone at (310) 651-1901.

Macy Javaherifar is licensed to practice in * (Not Available) (license number ) 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 1295563203.

Contact Information

Macy Javaherifar,
5143 Lindley Ave,
Tarzana, CA 91356-4349
(310) 651-1901
Not Available

Map and Direction




Provider's Profile

Full NameMacy Javaherifar
GenderFemale
SpecialityPhysician Assistant
Experience2 Years
Location5143 Lindley Ave, Tarzana, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Macy Javaherifar graduated from nursing school in 2024
  NPI Data:
  • NPI Number: 1295563203
  • Provider Enumeration Date: 07/22/2024
  • Last Update Date: 07/22/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8527596162
  • Enrollment ID: I20250110001335

Medical Identifiers

Medical identifiers for Macy Javaherifar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295563203NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Shine Mmg Inc610325728225
California Mobile Medical Group Inc771933009116
Aande Medical Group-a Professional Nursing Corporation771938823020

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. Macy Javaherifar allows following entities to bill medicare on her behalf.
Entity NameMobile Medical Group Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487169660
PECOS PAC ID: 8224397963
Enrollment ID: O20180125002042
Entity NameShine Mmg Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053930248
PECOS PAC ID: 6103257282
Enrollment ID: O20200505000514
Entity NameA&e Medical Group-a Professional Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306424502
PECOS PAC ID: 7719388230
Enrollment ID: O20210622001252
Entity NameCalifornia Mobile Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588439061
PECOS PAC ID: 7719330091
Enrollment ID: O20240202001837

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. Macy Javaherifar 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 AddressPractice Location Address
Macy Javaherifar,
5143 Lindley Ave,
Tarzana, CA 91356-4349

Ph: (310) 651-1901		Macy Javaherifar,
5143 Lindley Ave,
Tarzana, CA 91356-4349

Ph: (310) 651-1901

Reviews and Comments


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Phone: 818-996-1051    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.