Dr Mariam A Hussain, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in San Diego, California. Her current practice location is
3636 4th Ave Ste 310, San Diego, California. You can reach out to her office (for appointments etc.) via phone at
(858) 964-0722.
Dr Mariam A Hussain is licensed to practice in * (Not Available) (license number ) 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 1073321444.
Healthcare Provider's Profile
| Full Name | Dr Mariam A Hussain |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 3636 4th Ave Ste 310, San Diego, 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: 1073321444
- Provider Enumeration Date: 12/18/2024
- Last Update Date: 12/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941737134
- Enrollment ID: I20241230002584
Medical Identifiers
Medical identifiers for Dr Mariam A Hussain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073321444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TA0700X | Psychologist - Adult Development & Aging | (* (Not Available)) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | 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. Dr Mariam A Hussain allows following entities to bill medicare on her behalf.
| Entity Name | Pacific Neurobehavioral Clinic Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952724817
PECOS PAC ID: 9234454422
Enrollment ID: O20150210002211 |
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| Entity Name | Empower Neurorehab |
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| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Entity Identifiers | NPI Number: 1710602628
PECOS PAC ID: 5496288771
Enrollment ID: O20241024002803 |
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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. Dr Mariam A Hussain 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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Dr Mariam A Hussain, PHD
3636 4th Ave Ste 310,
San Diego, CA 92103-4294
Ph: () - | Dr Mariam A Hussain, PHD
3636 4th Ave Ste 310,
San Diego, CA 92103-4294
Ph: (858) 964-0722 |
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