Elda Petrosyan, FNP in North Hollywood, CA - Medicare Nurse Practitioner

Elda Petrosyan, FNP is a medicare enrolled "Nurse Practitioner - Family" in North Hollywood, California. Her current practice location is 8256 Saint Clair Ave, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (818) 859-0503.

Elda Petrosyan is licensed to practice in California (license number 95027679) 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 1396506283.

Contact Information

	Elda Petrosyan, FNP
	8256 Saint Clair Ave, North Hollywood, CA 91605-1327
	(818) 859-0503
	Not Available

Map and Direction

Provider's Profile

Full Name	Elda Petrosyan
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8256 Saint Clair Ave, North 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: 1396506283
Provider Enumeration Date: 01/18/2024
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 7618419029
Enrollment ID: I20240612002805

Medical Identifiers

Medical identifiers for Elda Petrosyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396506283	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95027679 (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. Elda Petrosyan allows following entities to bill medicare on her behalf.

Entity Name	Mobile Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487169660 PECOS PAC ID: 8224397963 Enrollment ID: O20180125002042

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. Elda Petrosyan 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
Elda Petrosyan, FNP 8256 Saint Clair Ave, North Hollywood, CA 91605-1327 Ph: (818) 859-0503	Elda Petrosyan, FNP 8256 Saint Clair Ave, North Hollywood, CA 91605-1327 Ph: (818) 859-0503

Reviews and Comments

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Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412

Elda Petrosyan, FNP - Medicare Nurse Practitioner in North Hollywood, CA