Dr Azahy Ayala-clark, PT, DPT is a medicare enrolled "Physical Therapist" physician in Bakersfield, California. Her current practice location is
3850 Riverlakes Dr, Bakersfield, California. You can reach out to her office (for appointments etc.) via phone at
(661) 529-2303.
Dr Azahy Ayala-clark is licensed to practice in Louisiana (license number 11333) 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 1396297230.
Physician's Profile
| Full Name | Dr Azahy Ayala-clark |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 3850 Riverlakes Dr, Bakersfield, 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: 1396297230
- Provider Enumeration Date: 10/26/2016
- Last Update Date: 12/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6103290895
- Enrollment ID: I20230320002730
Medical Identifiers
Medical identifiers for Dr Azahy Ayala-clark such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396297230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208100000X | Physical Medicine & Rehabilitation | 11333 (Louisiana) | Secondary |
| 2251P0200X | Physical Therapist - Pediatrics | 2123023 (Texas) | Secondary |
| 225100000X | Physical Therapist | 11333 (Louisiana) | 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 Azahy Ayala-clark allows following entities to bill medicare on her behalf.
| Entity Name | Summit Rehabilitation Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558492934
PECOS PAC ID: 9133012362
Enrollment ID: O20040203000556 |
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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 Azahy Ayala-clark 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 |
|---|
Dr Azahy Ayala-clark, PT, DPT
3850 Riverlakes Dr,
Bakersfield, CA 93312-6662
Ph: (661) 529-2303 | Dr Azahy Ayala-clark, PT, DPT
3850 Riverlakes Dr,
Bakersfield, CA 93312-6662
Ph: (661) 529-2303 |
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