Mrs Tandik Evazyan, MD in Los Angeles, CA

Mrs Tandik Evazyan, MD is a medicare enrolled "Anesthesiology" physician in Los Angeles, California. Her current practice location is 1520 San Pablo St, Suite 3450, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-6202.

Mrs Tandik Evazyan is licensed to practice in California (license number A111262) 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 1750627196.

Contact Information

	Mrs Tandik Evazyan, MD
	1520 San Pablo St, Suite 3450, Los Angeles, CA 90033-5310
	(323) 442-6202
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Tandik Evazyan
Gender	Female
Speciality	Anesthesiology
Location	1520 San Pablo St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750627196
Provider Enumeration Date: 12/12/2012
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 0042438277
Enrollment ID: I20140828002521

Medical Identifiers

Medical identifiers for Mrs Tandik Evazyan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750627196	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	A111262 (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. Mrs Tandik Evazyan allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Mrs Tandik Evazyan 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
Mrs Tandik Evazyan, MD 601 E Del Mar Blvd, Apt 406, Pasadena, CA 91101-2826 Ph: (818) 515-2411	Mrs Tandik Evazyan, MD 1520 San Pablo St, Suite 3450, Los Angeles, CA 90033-5310 Ph: (323) 442-6202

Reviews and Comments

Anesthesiology Doctors in Los Angeles, CA

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Dr. Phil Orallo Castillo, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Room 14-901, Los Angeles, CA 90033 Phone: 323-226-4597 Fax: 323-226-2794
Alma Luna Wells, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3160 Geneva St, Los Angeles, CA 90020 Phone: 818-813-4061

Mrs Tandik Evazyan, MD - Medicare Anesthesiology in Los Angeles, CA