Vardan Atanesian, AGPCNP in Riverside, CA - Medicare Nurse Practitioner

Vardan Atanesian, AGPCNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Riverside, California. His current practice location is 4445 Magnolia Ave, Riverside, California. You can reach out to his office (for appointments etc.) via phone at (951) 788-3000.

Vardan Atanesian is licensed to practice in California (license number 95011998) 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 1942857834.

Contact Information

	Vardan Atanesian, AGPCNP
	4445 Magnolia Ave, Riverside, CA 92501-4135
	(951) 788-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Vardan Atanesian
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	4445 Magnolia Ave, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942857834
Provider Enumeration Date: 08/24/2019
Last Update Date: 08/24/2019

Medicare PECOS Information:

PECOS PAC ID: 1658745799
Enrollment ID: I20230313001983

Medical Identifiers

Medical identifiers for Vardan Atanesian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942857834	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	95011998 (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. Vardan Atanesian allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

Entity Name	Sansum Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154354504 PECOS PAC ID: 3678471976 Enrollment ID: O20031223000607

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

Entity Name	Greater Good Health Pc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821673005 PECOS PAC ID: 5294106027 Enrollment ID: O20230113001472

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. Vardan Atanesian 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
Vardan Atanesian, AGPCNP 12881 Rimmon Rd, Eastvale, CA 92880-3438 Ph: (951) 496-2952	Vardan Atanesian, AGPCNP 4445 Magnolia Ave, Riverside, CA 92501-4135 Ph: (951) 788-3000

Reviews and Comments

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Vardan Atanesian, AGPCNP - Medicare Nurse Practitioner in Riverside, CA