Noor A Dythavon, RN, MSN, NP - Medicare Nurse Practitioner in Reno, NV

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Noor A Dythavon, RN, MSN, NP is a medicare enrolled "Nurse Practitioner - Family" in Reno, Nevada. Her current practice location is 10580 N Mccarran Blvd, Suite 115-288, Reno, Nevada. You can reach out to her office (for appointments etc.) via phone at (916) 595-8555.

Noor A Dythavon is licensed to practice in California (license number 95017773) 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 1518435379.

Contact Information

Noor A Dythavon, RN, MSN, NP
10580 N Mccarran Blvd, Suite 115-288,
Reno, NV 89503-1896
(916) 595-8555
Not Available

Map and Direction




Provider's Profile

Full NameNoor A Dythavon
GenderFemale
SpecialityNurse Practitioner - Family
Location10580 N Mccarran Blvd, Reno, Nevada
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518435379
  • Provider Enumeration Date: 11/08/2018
  • Last Update Date: 08/11/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486059367
  • Enrollment ID: I20211221002571

Medical Identifiers

Medical identifiers for Noor A Dythavon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518435379NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95017773 (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. Noor A Dythavon allows following entities to bill medicare on her behalf.
Entity NameAmerican Current Care Of California A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750573622
PECOS PAC ID: 5799854303
Enrollment ID: O20080522000420
Entity NameElk Grove Urgent Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285812024
PECOS PAC ID: 0648340976
Enrollment ID: O20080529000487
Entity NameMinuteclinic Diagnostic Medical Group Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033309372
PECOS PAC ID: 8224191374
Enrollment ID: O20090115000289

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. Noor A Dythavon 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 AddressPractice Location Address
Noor A Dythavon, RN, MSN, NP
10580 N Mccarran Blvd Ste 115-288,
Reno, NV 89503-2059

Ph: (916) 595-8555		Noor A Dythavon, RN, MSN, NP
10580 N Mccarran Blvd, Suite 115-288,
Reno, NV 89503-1896

Ph: (916) 595-8555

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.