Azeem Anjum, RN in National City, CA - Medicare Nurse Practitioner

Azeem Anjum, RN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in National City, California. His current practice location is 610 Euclid Ave Ste 200, National City, California. You can reach out to his office (for appointments etc.) via phone at (619) 267-9257.

Azeem Anjum is licensed to practice in California (license number 95026593) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114516150.

Contact Information

	Azeem Anjum, RN
	610 Euclid Ave Ste 200, National City, CA 91950-2951
	(619) 267-9257
	Not Available

Map and Direction

Provider's Profile

Full Name	Azeem Anjum
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	610 Euclid Ave Ste 200, National City, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114516150
Provider Enumeration Date: 01/14/2021
Last Update Date: 09/28/2023

Medicare PECOS Information:

PECOS PAC ID: 3173978103
Enrollment ID: I20231011003777

Medical Identifiers

Medical identifiers for Azeem Anjum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114516150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0102X	Registered Nurse - Maternal Newborn	95163409 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95026593 (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. Azeem Anjum allows following entities to bill medicare on his behalf.

Entity Name	Pacific Health Systems Lp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669486429 PECOS PAC ID: 7911901392 Enrollment ID: O20060828000447

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. Azeem Anjum 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
Azeem Anjum, RN 13550 Grain Ln, San Diego, CA 92129-2852 Ph: (508) 523-1981	Azeem Anjum, RN 610 Euclid Ave Ste 200, National City, CA 91950-2951 Ph: (619) 267-9257

Reviews and Comments

Nurse Practitioner Nurses in National City, CA

Ms. Kia Lee, NP, MSN, BA Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 Euclid Ave, Suite 305, National City, CA 91950 Phone: 619-818-7205
De Courcy Luckett, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 408 W 8th St, National City, CA 91950 Phone: 619-474-8666
Sue Insigne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1419 E 8th St, National City, CA 91950 Phone: 619-718-1743
Serena Angelina Pitula, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 502 Euclid Ave Ste 300, National City, CA 91950 Phone: 619-475-1261
Alissa Gray, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2575 E 8th St, National City, CA 91950 Phone: 619-470-6700
Michael B Raguine, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2743 Highland Ave, National City, CA 91950 Phone: 619-474-2284
Anna Celia Gil, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 655 Euclid Ave Ste 405, National City, CA 91950 Phone: 619-479-0822

Azeem Anjum, RN - Medicare Nurse Practitioner in National City, CA