Mr Edik Avetyan, FNP-C in Walnut, CA - Medicare Nurse Practitioner

Mr Edik Avetyan, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Walnut, California. His current practice location is 839 Watercress Ln, Walnut, California. You can reach out to his office (for appointments etc.) via phone at (760) 490-8036.

Mr Edik Avetyan is licensed to practice in California (license number 95016360) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437771276.

Contact Information

	Mr Edik Avetyan, FNP-C
	839 Watercress Ln, Walnut, CA 91789-1403
	(760) 490-8036
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Edik Avetyan
Gender	Male
Speciality	Nurse Practitioner - Family
Location	839 Watercress Ln, Walnut, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437771276
Provider Enumeration Date: 05/14/2020
Last Update Date: 07/01/2021

Medicare PECOS Information:

PECOS PAC ID: 5294172631
Enrollment ID: I20240321001713

Medical Identifiers

Medical identifiers for Mr Edik Avetyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437771276	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95016360 (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. Mr Edik Avetyan allows following entities to bill medicare on his behalf.

Entity Name	Anoush Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053184895 PECOS PAC ID: 8022468800 Enrollment ID: O20231219003581

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. Mr Edik Avetyan 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
Mr Edik Avetyan, FNP-C 839 Watercress Ln, Walnut, CA 91789-1403 Ph: (760) 490-8036	Mr Edik Avetyan, FNP-C 839 Watercress Ln, Walnut, CA 91789-1403 Ph: (760) 490-8036

Reviews and Comments

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Mr Edik Avetyan, FNP-C - Medicare Nurse Practitioner in Walnut, CA