Setrak Manouk Missak Azrenkassian, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Thousand Oaks, California. His current practice location is
215 W Janss Rd, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at
(805) 497-2727.
Setrak Manouk Missak Azrenkassian is licensed to practice in * (Not Available) (license number ) 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 1265010920.
Physician's Profile
Full Name | Setrak Manouk Missak Azrenkassian |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 215 W Janss Rd, Thousand Oaks, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265010920
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 04/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254706880
- Enrollment ID: I20230412001049
Medical Identifiers
Medical identifiers for Setrak Manouk Missak Azrenkassian such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265010920 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A193958 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Setrak Manouk Missak Azrenkassian 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 |
Setrak Manouk Missak Azrenkassian, 8608 Foothill Blvd Apt 218, Sunland, CA 91040-1976 Ph: (818) 439-0941 | Setrak Manouk Missak Azrenkassian, 215 W Janss Rd, Thousand Oaks, CA 91360-1847 Ph: (805) 497-2727 |
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