Hagop Jack Mkroyan, PMHNP - Medicare Nurse Practitioner in Glendale, CA

Hagop Jack Mkroyan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Penciu Medical Apmc and his current practice location is 1111 N Brand Blvd Ste 312, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (323) 230-0017.

Hagop Jack Mkroyan is licensed to practice in California (license number 95012171) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104479179.

Contact Information

Hagop Jack Mkroyan, PMHNP
1111 N Brand Blvd Ste 312,
Glendale, CA 91202-3071
(323) 230-0017
Not Available

Map and Direction




Provider's Profile

Full NameHagop Jack Mkroyan
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location1111 N Brand Blvd Ste 312, Glendale, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Hagop Jack Mkroyan graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1104479179
  • Provider Enumeration Date: 07/18/2019
  • Last Update Date: 04/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4688906001
  • Enrollment ID: I20191104001782

Medical Identifiers

Medical identifiers for Hagop Jack Mkroyan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104479179NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 841786 (Nevada)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95012171 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Penciu Medical Apmc20628271322

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. Hagop Jack Mkroyan allows following entities to bill medicare on his behalf.
Entity NameDadoyan Behavioral Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687878
PECOS PAC ID: 8325358054
Enrollment ID: O20151110001294
Entity NameKlc Consultants, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053808899
PECOS PAC ID: 1759638984
Enrollment ID: O20180719001425
Entity NamePenciu Medical Apmc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295351740
PECOS PAC ID: 2062827132
Enrollment ID: O20210223002020

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. Hagop Jack Mkroyan 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 AddressPractice Location Address
Hagop Jack Mkroyan, PMHNP
1111 N Brand Blvd Ste 312,
Glendale, CA 91202-3071

Ph: (323) 230-0017
Hagop Jack Mkroyan, PMHNP
1111 N Brand Blvd Ste 312,
Glendale, CA 91202-3071

Ph: (323) 230-0017

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.