Mr Michael Aydalla, AGACNP-BC, MSN, RN in Harlingen, TX

Mr Michael Aydalla, AGACNP-BC, MSN, RN is a medicare enrolled "Nurse Practitioner" in Harlingen, Texas. His current practice location is 5501 Us-77, Harlingen, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 365-1000.

Mr Michael Aydalla is licensed to practice in Texas (license number 1045274) 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 1790357937.

Contact Information

	Mr Michael Aydalla, AGACNP-BC, MSN, RN
	5501 Us-77, Harlingen, TX 78550
	(956) 365-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael Aydalla
Gender	Male
Speciality	Nurse Practitioner
Location	5501 Us-77, Harlingen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790357937
Provider Enumeration Date: 07/16/2021
Last Update Date: 04/03/2023

Medicare PECOS Information:

PECOS PAC ID: 4082003371
Enrollment ID: I20211108000187

Medical Identifiers

Medical identifiers for Mr Michael Aydalla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790357937	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	1045274 (Texas)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	1045274 (Texas)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	1045274 (Texas)	Secondary
363L00000X	Nurse Practitioner	1045274 (Texas)	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 Michael Aydalla allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Padmini Bhadriraju Md P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619278876 PECOS PAC ID: 7214118173 Enrollment ID: O20110224000875

Entity Name	Benchmark Inpatient Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285111021 PECOS PAC ID: 3678821469 Enrollment ID: O20180810001269

Entity Name	Gulf Coast Physician Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922889187 PECOS PAC ID: 7214388826 Enrollment ID: O20240108006134

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 Michael Aydalla 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 Michael Aydalla, AGACNP-BC, MSN, RN 2200 Colorado Ave Apt 208, Santa Monica, CA 90404-5539 Ph: (361) 960-3691	Mr Michael Aydalla, AGACNP-BC, MSN, RN 5501 Us-77, Harlingen, TX 78550 Ph: (956) 365-1000

Reviews and Comments

Nurse Practitioner Nurses in Harlingen, TX

Rosa Linda Silvestro, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26830 Scarlett Cir, Harlingen, TX 78552 Phone: 956-536-5213
Jessica Rexine Mitchell, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3809 W Business 83, Harlingen, TX 78552 Phone: 956-504-3550 Fax: 956-734-9038
Ms. Nadia Yvette Lozano, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 512 Victoria Ln Ste 2, Harlingen, TX 78550 Phone: 956-365-4400 Fax: 956-365-4111
Ray Garcia Jr., FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1821 S Sesame Sq Ste 14, Harlingen, TX 78550 Phone: 956-825-1235
Sylvia Rodriguez, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2121 Pease St Ste 101, Harlingen, TX 78550 Phone: 956-425-8845 Fax: 956-364-6785
Sabino Vega Jr., MSN, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2101 Pease St, Harlingen, TX 78550 Phone: 956-389-5000
Priscilla Velazquez, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 707 W Sesame Dr, Harlingen, TX 78550 Phone: 956-423-8042 Fax: 956-423-2907

Mr Michael Aydalla, AGACNP-BC, MSN, RN - Medicare Nurse Practitioner in Harlingen, TX