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



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

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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. 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

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Psychologist in Marina Del Rey, CA

Dr. Julie Anne Armstrong, PSY.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 4519 Admiralty Wy, #202, Marina Del Rey, CA 90292
Phone: 310-273-9190    
Dr. Kimberly Anne Tangen, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 4519 Admiralty Way Ste 110, Marina Del Rey, CA 90292
Phone: 323-538-4779    Fax: 323-817-1150
Charles William Crook,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3400 Pacific Ave Apt 208, Marina Del Rey, CA 90292
Phone: 310-428-8787    
Dr. James Joseph Finley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 15 Galleon St # 3, Marina Del Rey, CA 90292
Phone: 310-367-1180    
Dr. Karol Darsa Nechushtan, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 719 Howard St, Marina Del Rey, CA 90292
Phone: 310-713-9855    Fax: 310-821-8261
Dr. Tracy Carmela Halstead, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3007 Washington Blvd, Suite 230b, Marina Del Rey, CA 90292
Phone: 310-306-2020    Fax: 310-305-8407
Shakita Lee,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 13603 Marina Pointe Dr Apt C617, Marina Del Rey, CA 90292
Phone: 323-243-0207    

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