Hagop Jack Mkroyan, PMHNP in Glendale, CA - Medicare Nurse Practitioner

Hagop Jack Mkroyan, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, California. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Penciu Medical Apmc and his current practice location is 1111 N Brand Blvd Ste 312, Glendale, California. You can reach out to his office (for appointments etc.) via phone at (323) 230-0017.

Hagop Jack Mkroyan is licensed to practice in California (license number 95012171) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104479179.

Contact Information

	Hagop Jack Mkroyan, PMHNP
	1111 N Brand Blvd Ste 312, Glendale, CA 91202-3071
	(323) 230-0017
	Not Available

Map and Direction

Provider's Profile

Full Name	Hagop Jack Mkroyan
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1111 N Brand Blvd Ste 312, Glendale, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hagop Jack Mkroyan graduated from nursing school in 2019

NPI Data:

NPI Number: 1104479179
Provider Enumeration Date: 07/18/2019
Last Update Date: 04/26/2024

Medicare PECOS Information:

PECOS PAC ID: 4688906001
Enrollment ID: I20191104001782

Medical Identifiers

Medical identifiers for Hagop Jack Mkroyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104479179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	841786 (Nevada)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95012171 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Penciu Medical Apmc	2062827132	2

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. Hagop Jack Mkroyan allows following entities to bill medicare on his behalf.

Entity Name	Dadoyan Behavioral Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841687878 PECOS PAC ID: 8325358054 Enrollment ID: O20151110001294

Entity Name	Klc Consultants, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053808899 PECOS PAC ID: 1759638984 Enrollment ID: O20180719001425

Entity Name	Penciu Medical Apmc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295351740 PECOS PAC ID: 2062827132 Enrollment ID: O20210223002020

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. Hagop Jack Mkroyan 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
Hagop Jack Mkroyan, PMHNP 1111 N Brand Blvd Ste 312, Glendale, CA 91202-3071 Ph: (323) 230-0017	Hagop Jack Mkroyan, PMHNP 1111 N Brand Blvd Ste 312, Glendale, CA 91202-3071 Ph: (323) 230-0017

Reviews and Comments

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Brianna Ruth Oexmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 501 N Central Ave, Glendale, CA 91203 Phone: 888-777-1945 Fax: 805-413-9099
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Hagop Jack Mkroyan, PMHNP - Medicare Nurse Practitioner in Glendale, CA