Mariam Fazil, PMHNP-BC - Medicare Nurse Practitioner in Newport Beach, CA

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Mariam Fazil, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Newport Beach, California. Her current practice location is 1401 Dove St Ste 420, Newport Beach, California. You can reach out to her office (for appointments etc.) via phone at (949) 945-0927.

Mariam Fazil is licensed to practice in California (license number 95024966) 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 1235827429.

Contact Information

Mariam Fazil, PMHNP-BC
1401 Dove St Ste 420,
Newport Beach, CA 92660-2420
(949) 945-0927
Not Available

Map and Direction




Provider's Profile

Full NameMariam Fazil
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1401 Dove St Ste 420, Newport Beach, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235827429
  • Provider Enumeration Date: 04/26/2023
  • Last Update Date: 07/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5597125849
  • Enrollment ID: I20230718002080

Medical Identifiers

Medical identifiers for Mariam Fazil such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235827429NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 95024966 (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. Mariam Fazil allows following entities to bill medicare on her behalf.
Entity NameOc Progressive Recovery Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003340217
PECOS PAC ID: 7214207190
Enrollment ID: O20170726000348
Entity NameAllied Psychiatry And Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457829731
PECOS PAC ID: 6608117346
Enrollment ID: O20190408001014
Entity NameBrainpower Wellness Institute Nursing Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528573615
PECOS PAC ID: 3072840586
Enrollment ID: O20190806004155
Entity NamePsychbright Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225742240
PECOS PAC ID: 9537533724
Enrollment ID: O20230330001918
Entity NameAmygdala Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386324267
PECOS PAC ID: 3577910421
Enrollment ID: O20231114002865

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. Mariam Fazil 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
Mariam Fazil, PMHNP-BC
1401 Dove St Ste 420,
Newport Beach, CA 92660-2420

Ph: (949) 945-0927		Mariam Fazil, PMHNP-BC
1401 Dove St Ste 420,
Newport Beach, CA 92660-2420

Ph: (949) 945-0927

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.