Samuel T Grigoryan, NP in Laguna Niguel, CA

Samuel T Grigoryan, NP is a medicare enrolled "Registered Nurse - Psychiatric/mental Health" in Laguna Niguel, California. His current practice location is 29982 Ivy Glenn Dr Ste 203, Laguna Niguel, California. You can reach out to his office (for appointments etc.) via phone at (949) 309-7903.

Samuel T Grigoryan is licensed to practice in California (license number 95165516) 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 1881189892.

Contact Information

	Samuel T Grigoryan, NP
	29982 Ivy Glenn Dr Ste 203, Laguna Niguel, CA 92677-2097
	(949) 309-7903
	(949) 716-5243

Map and Direction

Provider's Profile

Full Name	Samuel T Grigoryan
Gender	Male
Speciality	Registered Nurse - Psychiatric/mental Health
Location	29982 Ivy Glenn Dr Ste 203, Laguna Niguel, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881189892
Provider Enumeration Date: 06/22/2018
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 6608234059
Enrollment ID: I20230616002804

Medical Identifiers

Medical identifiers for Samuel T Grigoryan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881189892	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	95165516 (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. Samuel T Grigoryan allows following entities to bill medicare on his behalf.

Entity Name	Integrative Psychiatry A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720268980 PECOS PAC ID: 4587057286 Enrollment ID: O20220201001918

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. Samuel T Grigoryan 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
Samuel T Grigoryan, NP 1437 E Escalon Ave, Fresno, CA 93710-5734 Ph: (559) 495-8706	Samuel T Grigoryan, NP 29982 Ivy Glenn Dr Ste 203, Laguna Niguel, CA 92677-2097 Ph: (949) 309-7903

Reviews and Comments

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Ellen Rosemary Koci, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 14 Dion, Laguna Niguel, CA 92677 Phone: 949-363-1513
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Mr. Cameron Hershey, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 27701 Country Lane Rd, Laguna Niguel, CA 92677 Phone: 909-635-8861
Montana Kaye Mellott, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 27930 Cabot Rd Unit 306, Laguna Niguel, CA 92677 Phone: 480-622-3372
Kerry Melachouris, RN PMHNP STUDENT Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 30862 La Mer, Laguna Niguel, CA 92677 Phone: 949-697-0960

Samuel T Grigoryan, NP - Medicare Registered Nurse in Laguna Niguel, CA