Azaduhi Kalaydjian, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Victorville, California. Her current practice location is
16850 Bear Valley Rd, Victorville, California. You can reach out to her office (for appointments etc.) via phone at
(760) 241-8000.
Azaduhi Kalaydjian is licensed to practice in California (license number 236326) 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 1619685633.
Provider's Profile
| Full Name | Azaduhi Kalaydjian |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 16850 Bear Valley Rd, Victorville, 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: 1619685633
- Provider Enumeration Date: 11/08/2022
- Last Update Date: 12/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 6507222601
- Enrollment ID: I20230516001184
Medical Identifiers
Medical identifiers for Azaduhi Kalaydjian such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619685633 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 95023156 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 236326 (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. Azaduhi Kalaydjian allows following entities to bill medicare on her behalf.
| Entity Name | Desert Valley Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803 |
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| Entity Name | Dhp Of California Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679836084
PECOS PAC ID: 9234388745
Enrollment ID: O20120927000044 |
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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. Azaduhi Kalaydjian 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 |
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Azaduhi Kalaydjian, CNM, WHNP-BC
10121 Memory Park Ave,
Mission Hills, CA 91345-2726
Ph: (818) 689-5120 | Azaduhi Kalaydjian, CNM, WHNP-BC
16850 Bear Valley Rd,
Victorville, CA 92395-5794
Ph: (760) 241-8000 |
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