Miss Heather Azzalina, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Pen Argyl, Pennsylvania. Her current practice location is
1337 Blue Valley Dr, Pen Argyl, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 654-1200.
Miss Heather Azzalina is licensed to practice in Pennsylvania (license number SP013425) 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 1083035042.
Provider's Profile
Full Name | Miss Heather Azzalina |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1337 Blue Valley Dr, Pen Argyl, Pennsylvania |
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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: 1083035042
- Provider Enumeration Date: 12/18/2013
- Last Update Date: 09/24/2014
Medicare PECOS Information:
- PECOS PAC ID: 2163647116
- Enrollment ID: I20140707000857
Medical Identifiers
Medical identifiers for Miss Heather Azzalina such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083035042 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP013425 (Pennsylvania) | 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. Miss Heather Azzalina allows following entities to bill medicare on her behalf.
Entity Name | Lehigh Valley Physician Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
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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. Miss Heather Azzalina 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 |
Miss Heather Azzalina, FNP-C Po Box 1754, Allentown, PA 18105-1754 Ph: () - | Miss Heather Azzalina, FNP-C 1337 Blue Valley Dr, Pen Argyl, PA 18072-1815 Ph: (610) 654-1200 |
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