Ms Holly Gruwell Antonyan, NP in Torrance, CA

Ms Holly Gruwell Antonyan, NP is a medicare enrolled "Nurse Practitioner" in Torrance, California. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hillside Dermatology and her current practice location is 24520 Hawthorne Blvd Ste 240, Torrance, California. You can reach out to her office (for appointments etc.) via phone at (310) 300-6206.

Ms Holly Gruwell Antonyan is licensed to practice in California (license number 21075) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144500398.

Contact Information

	Ms Holly Gruwell Antonyan, NP
	24520 Hawthorne Blvd Ste 240, Torrance, CA 90505-6849
	(310) 300-6206
	(310) 919-3703

Map and Direction

Provider's Profile

Full Name	Ms Holly Gruwell Antonyan
Gender	Female
Speciality	Nurse Practitioner
Experience	13 Years
Location	24520 Hawthorne Blvd Ste 240, Torrance, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Holly Gruwell Antonyan graduated from nursing school in 2011

NPI Data:

NPI Number: 1144500398
Provider Enumeration Date: 08/19/2011
Last Update Date: 09/29/2024

Medicare PECOS Information:

PECOS PAC ID: 4688802598
Enrollment ID: I20140122000335

Medical Identifiers

Medical identifiers for Ms Holly Gruwell Antonyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144500398	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	21075 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Hillside Dermatology	0446606594	2

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. Ms Holly Gruwell Antonyan allows following entities to bill medicare on her behalf.

Entity Name	Coast Dermatology Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285926543 PECOS PAC ID: 7517114135 Enrollment ID: O20120904000155

Entity Name	Hillside Dermatology
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851174924 PECOS PAC ID: 0446606594 Enrollment ID: O20231025001448

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. Ms Holly Gruwell Antonyan 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
Ms Holly Gruwell Antonyan, NP 28625 S Western Ave # 55, Rancho Palos Verdes, CA 90275-0810 Ph: () -	Ms Holly Gruwell Antonyan, NP 24520 Hawthorne Blvd Ste 240, Torrance, CA 90505-6849 Ph: (310) 300-6206

Reviews and Comments

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Tanya Jennette Smit, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4201 Torrance Blvd Ste 720, Torrance, CA 90503 Phone: 310-571-5957

Ms Holly Gruwell Antonyan, NP - Medicare Nurse Practitioner in Torrance, CA