Judith Anugom, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in N Hollywood, California. Her current practice location is
7451 Lankershim Blvd, N Hollywood, California. You can reach out to her office (for appointments etc.) via phone at
(818) 503-9800.
Judith Anugom is licensed to practice in California (license number 95019407) 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 1285383117.
Provider's Profile
| Full Name | Judith Anugom |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 7451 Lankershim Blvd, N 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. |
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NPI Data:
- NPI Number: 1285383117
- Provider Enumeration Date: 03/18/2022
- Last Update Date: 03/18/2022
Medicare PECOS Information:
- PECOS PAC ID: 7315302221
- Enrollment ID: I20230428000411
Medical Identifiers
Medical identifiers for Judith Anugom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285383117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95019407 (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. Judith Anugom allows following entities to bill medicare on her behalf.
| Entity Name | St Johns Community Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073653630
PECOS PAC ID: 2961482690
Enrollment ID: O20040722001434 |
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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. Judith Anugom 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 |
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Judith Anugom,
13917 Mcclure Ave Apt 3,
Paramount, CA 90723-6011
Ph: (323) 470-8879 | Judith Anugom,
7451 Lankershim Blvd,
N Hollywood, CA 91605-2803
Ph: (818) 503-9800 |
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