Kimya Behrouzian, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Redwood City, California. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Tobias Moeller-bertram Md Corporation and her current practice location is
1400 Veterans Blvd, Redwood City, California. You can reach out to her office (for appointments etc.) via phone at
(650) 299-4736.
Kimya Behrouzian 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 1255847414.
Healthcare Provider's Profile
| Full Name | Kimya Behrouzian |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 1400 Veterans Blvd, Redwood City, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kimya Behrouzian graduated from medical school in 2020
NPI Data:
- NPI Number: 1255847414
- Provider Enumeration Date: 12/22/2017
- Last Update Date: 04/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810367711
- Enrollment ID: I20230111001407
Medical Identifiers
Medical identifiers for Kimya Behrouzian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1255847414 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 33393 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Tobias Moeller-bertram Md Corporation | 1456586064 | 29 |
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. Kimya Behrouzian allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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| Entity Name | Tobias Moeller-bertram Md Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922440684 PECOS PAC ID: 1456586064 Enrollment ID: O20140128000459 |
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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. Kimya Behrouzian 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 |
Kimya Behrouzian, 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: (650) 299-2000 | Kimya Behrouzian, 1400 Veterans Blvd, Redwood City, CA 94063-2612 Ph: (650) 299-4736 |
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