Elena Balashova-shamis, PSYD - Medicare Psychologist in Marina Del Rey, CA

Elena Balashova-shamis, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Marina Del Rey, California. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 4712 Admiralty Way Ste 591, Marina Del Rey, California. You can reach out to her office (for appointments etc.) via phone at (310) 850-1699.

Elena Balashova-shamis is licensed to practice in California (license number PSY20104) 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 1740705367.

Contact Information

Elena Balashova-shamis, PSYD
4712 Admiralty Way Ste 591,
Marina Del Rey, CA 90292-6905
(310) 850-1699
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameElena Balashova-shamis
GenderFemale
SpecialityClinical Psychologist
Experience22 Years
Location4712 Admiralty Way Ste 591, Marina Del Rey, 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:
  • Elena Balashova-shamis graduated from medical school in 2002
  NPI Data:
  • NPI Number: 1740705367
  • Provider Enumeration Date: 08/04/2017
  • Last Update Date: 01/12/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567738149
  • Enrollment ID: I20171026000851

Medical Identifiers

Medical identifiers for Elena Balashova-shamis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740705367NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY20104 (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. Elena Balashova-shamis allows following entities to bill medicare on her behalf.
Entity NameAmerican Psychological Corporation, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053819672
PECOS PAC ID: 1355603671
Enrollment ID: O20180327001726

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. Elena Balashova-shamis 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
Elena Balashova-shamis, PSYD
Po Box 12212,
Marina Del Rey, CA 90295-3212

Ph: (310) 486-0404
Elena Balashova-shamis, PSYD
4712 Admiralty Way Ste 591,
Marina Del Rey, CA 90292-6905

Ph: (310) 850-1699

Reviews and Comments


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Phone: 323-243-0207    

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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.

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