Ms Mariya Sergeyevna Azarov, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gold River, California. Her current practice location is
2485 Sunrise Blvd Ste A, Gold River, California. You can reach out to her office (for appointments etc.) via phone at
(833) 255-6332.
Ms Mariya Sergeyevna Azarov is licensed to practice in California (license number 95017414) 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 1528636891.
Provider's Profile
| Full Name | Ms Mariya Sergeyevna Azarov |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2485 Sunrise Blvd Ste A, Gold River, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528636891
- Provider Enumeration Date: 06/14/2021
- Last Update Date: 06/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325434053
- Enrollment ID: I20220406001464
Medical Identifiers
Medical identifiers for Ms Mariya Sergeyevna Azarov such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528636891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 761270 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95017414 (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. Ms Mariya Sergeyevna Azarov allows following entities to bill medicare on her behalf.
| Entity Name | California Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487427837
PECOS PAC ID: 3971940164
Enrollment ID: O20240323000217 |
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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. Ms Mariya Sergeyevna Azarov 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 Mariya Sergeyevna Azarov, FNP
2485 Sunrise Blvd Ste A,
Gold River, CA 95670-4344
Ph: (833) 255-6332 | Ms Mariya Sergeyevna Azarov, FNP
2485 Sunrise Blvd Ste A,
Gold River, CA 95670-4344
Ph: (833) 255-6332 |
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