Azita Gholami, in West Hollywood, CA - Medicare Nurse Practitioner

Azita Gholami, is a medicare enrolled "Nurse Practitioner - Family" in West Hollywood, California. Her current practice location is 8700 Beverly Blvd, West Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (805) 708-5523.

Azita Gholami is licensed to practice in California (license number 95022389) 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 1245953686.

Contact Information

	Azita Gholami,
	8700 Beverly Blvd, West Hollywood, CA 90048-1804
	(805) 708-5523
	Not Available

Map and Direction

Provider's Profile

Full Name	Azita Gholami
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8700 Beverly Blvd, West Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245953686
Provider Enumeration Date: 09/21/2022
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4587036751
Enrollment ID: I20230216001014

Medical Identifiers

Medical identifiers for Azita Gholami such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245953686	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95022389 (California)	Primary
363LF0000X	Nurse Practitioner - Family	95131887 (California)	Secondary

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. Azita Gholami allows following entities to bill medicare on her behalf.

Entity Name	Apex Multispecialty Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023672367 PECOS PAC ID: 3375978497 Enrollment ID: O20200120000780

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. Azita Gholami 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
Azita Gholami, 12855 Runway Rd Apt 1225, Playa Vista, CA 90094-2667 Ph: (805) 708-5523	Azita Gholami, 8700 Beverly Blvd, West Hollywood, CA 90048-1804 Ph: (805) 708-5523

Reviews and Comments

Nurse Practitioner Nurses in West Hollywood, CA

Dr. Bernice Louise Coleman, PH.D, ACNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, North Tower Room 6215, West Hollywood, CA 90048 Phone: 310-423-6178
Chiara Casas, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277
Ms. Sharon A Galvis, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8700 Beverly Blvd, Tower 4311, West Hollywood, CA 90048 Phone: 310-423-4457 Fax: 310-423-2114
Dr. Andrea Banty, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-4100
Ivy Mckenzie Carson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8550 Santa Monica Blvd Fl 2, West Hollywood, CA 90069 Phone: 909-962-1260 Fax: 323-307-7140
Pamela Grace Silvestre Mondejar, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, West Hollywood, CA 90048 Phone: 310-423-3277
Mrs. Alexandra Elise Saborio, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Beverly Blvd, Becker Building 220, West Hollywood, CA 90048 Phone: 310-423-5252

Azita Gholami, - Medicare Nurse Practitioner in West Hollywood, CA