Golzar Kouklan, BS - Medicare Psychologist in Long Beach, CA

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Golzar Kouklan, BS is a medicare enrolled "Psychologist - Clinical" provider in Long Beach, California. She graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice San Diego Brainworks Psychology And Neuropsychology Services and her current practice location is 434 E 4th St, Long Beach, California. You can reach out to her office (for appointments etc.) via phone at (630) 715-2520.

Golzar Kouklan is licensed to practice in California (license number 30945) 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 1649544289.

Contact Information

Golzar Kouklan, BS
434 E 4th St,
Long Beach, CA 90802-2405
(630) 715-2520
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameGolzar Kouklan
GenderFemale
SpecialityClinical Psychologist
Experience9 Years
Location434 E 4th St, Long Beach, 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:
  • Golzar Kouklan graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1649544289
  • Provider Enumeration Date: 02/29/2012
  • Last Update Date: 08/29/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395075576
  • Enrollment ID: I20191001003497

Medical Identifiers

Medical identifiers for Golzar Kouklan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649544289NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 30945 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (Wisconsin)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Diego Brainworks Psychology And Neuropsychology Services02444510523

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. Golzar Kouklan allows following entities to bill medicare on her behalf.
Entity NameSan Diego Brainworks Psychology & Neuropsychology Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427458710
PECOS PAC ID: 0244451052
Enrollment ID: O20141021000233

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. Golzar Kouklan 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
Golzar Kouklan, BS
1020 N 12th St,
Milwaukee, WI 53233-1308

Ph: (414) 219-5000		Golzar Kouklan, BS
434 E 4th St,
Long Beach, CA 90802-2405

Ph: (630) 715-2520

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.