Mrs Azmina Koorji, NURSE PRACTITIONER in Oakland, CA

Mrs Azmina Koorji, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Acute Care" in Oakland, California. Her current practice location is 3012 Summit St Fl 2, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 869-8660.

Mrs Azmina Koorji is licensed to practice in California (license number 366670) 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 1467591651.

Contact Information

	Mrs Azmina Koorji, NURSE PRACTITIONER
	3012 Summit St Fl 2, Oakland, CA 94609-3480
	(510) 869-8660
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Azmina Koorji
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3012 Summit St Fl 2, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467591651
Provider Enumeration Date: 02/05/2007
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 7214928837
Enrollment ID: I20040521000961

Medical Identifiers

Medical identifiers for Mrs Azmina Koorji such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467591651	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	366670 (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. Mrs Azmina Koorji allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mrs Azmina Koorji 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
Mrs Azmina Koorji, NURSE PRACTITIONER 3012 Summit St Fl 2, Oakland, CA 94609-3480 Ph: (510) 869-8660	Mrs Azmina Koorji, NURSE PRACTITIONER 3012 Summit St Fl 2, Oakland, CA 94609-3480 Ph: (510) 869-8660

Reviews and Comments

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Mrs Azmina Koorji, NURSE PRACTITIONER - Medicare Nurse Practitioner in Oakland, CA