Pavel Ksendz, PMHNP - Medicare Nurse Practitioner in Santa Clarita, CA

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Pavel Ksendz, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Santa Clarita, California. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Brainpower Wellness Institute Nursing Corporation, Oc Progressive Recovery Inc. and his current practice location is 21700 Golden Triangle Rd Ste 104a, Santa Clarita, California. You can reach out to his office (for appointments etc.) via phone at (310) 849-4541.

Pavel Ksendz is licensed to practice in California (license number 95021622) 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 1790406882.

Contact Information

Pavel Ksendz, PMHNP
21700 Golden Triangle Rd Ste 104a,
Santa Clarita, CA 91350-2616
(310) 849-4541
Not Available

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Provider's Profile

Full NamePavel Ksendz
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location21700 Golden Triangle Rd Ste 104a, Santa Clarita, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Pavel Ksendz graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1790406882
  • Provider Enumeration Date: 09/07/2022
  • Last Update Date: 09/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901268739
  • Enrollment ID: I20230810003847

Medical Identifiers

Medical identifiers for Pavel Ksendz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790406882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95021622 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Brainpower Wellness Institute Nursing Corporation307284058615
Oc Progressive Recovery Inc.721420719018

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. Pavel Ksendz allows following entities to bill medicare on his behalf.
Entity NameOc Progressive Recovery Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003340217
PECOS PAC ID: 7214207190
Enrollment ID: O20170726000348
Entity NameBrainpower Wellness Institute Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528573615
PECOS PAC ID: 3072840586
Enrollment ID: O20190806004155
Entity NameAmygdala Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386324267
PECOS PAC ID: 3577910421
Enrollment ID: O20231114002865

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. Pavel Ksendz 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
Pavel Ksendz, PMHNP
21700 Golden Triangle Rd Ste 104a,
Santa Clarita, CA 91350-2616

Ph: (310) 849-4541		Pavel Ksendz, PMHNP
21700 Golden Triangle Rd Ste 104a,
Santa Clarita, CA 91350-2616

Ph: (310) 849-4541

Reviews and Comments


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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.