Emma Avetisyan, AGNP is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in North Hollywood, California. Her current practice location is
6064 Hazelhurst Pl, Unit 1, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at
(323) 420-9515.
Emma Avetisyan is licensed to practice in California (license number 95002250) 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 1114300449.
Provider's Profile
Full Name | Emma Avetisyan |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Adult Health |
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Location | 6064 Hazelhurst Pl, North Hollywood, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1114300449
- Provider Enumeration Date: 07/06/2015
- Last Update Date: 07/13/2015
Medicare PECOS Information:
- PECOS PAC ID: 6406145507
- Enrollment ID: I20160512001568
Medical Identifiers
Medical identifiers for Emma Avetisyan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114300449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SA2200X | Clinical Nurse Specialist - Adult Health | 95002250 (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. Emma Avetisyan allows following entities to bill medicare on her behalf.
Entity Name | Ramesh Arora Medical Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144273095 PECOS PAC ID: 5294763926 Enrollment ID: O20090710000073 |
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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. Emma Avetisyan 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 |
Emma Avetisyan, AGNP 6064 Hazelhurst Pl, Unit 1, North Hollywood, CA 91606-4858 Ph: (323) 420-9515 | Emma Avetisyan, AGNP 6064 Hazelhurst Pl, Unit 1, North Hollywood, CA 91606-4858 Ph: (323) 420-9515 |
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