Adelle M Azam, ARNP in Coral Springs, FL - Medicare Nurse Practitioner

Adelle M Azam, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Coral Springs, Florida. Her current practice location is 3100 Coral Hills Dr Ste 202, Coral Springs, Florida. You can reach out to her office (for appointments etc.) via phone at (954) 320-2640.

Adelle M Azam is licensed to practice in Florida (license number ARNP3261052) 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 1942501697.

Contact Information

	Adelle M Azam, ARNP
	3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139
	(954) 320-2640
	(954) 320-2610

Map and Direction

Provider's Profile

Full Name	Adelle M Azam
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3100 Coral Hills Dr Ste 202, Coral Springs, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942501697
Provider Enumeration Date: 11/11/2010
Last Update Date: 04/02/2024

Medicare PECOS Information:

PECOS PAC ID: 9234392150
Enrollment ID: I20120511000453

Medical Identifiers

Medical identifiers for Adelle M Azam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942501697	NPI	-	NPPES
000445400	Medicaid	FL
ARNP3261052	Other	FL	FL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WE0003X	Registered Nurse - Emergency	ARNP3261052 (Florida)	Secondary
163WM0705X	Registered Nurse - Medical-surgical	ARNP3261052 (Florida)	Secondary
163WN0002X	Registered Nurse - Neonatal Intensive Care	ARNP 3261052 (ZZ)	Secondary
363L00000X	Nurse Practitioner	ARNP3261052 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	ARNP3261052 (Florida)	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. Adelle M Azam allows following entities to bill medicare on her behalf.

Entity Name	North Broward Hospital District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801581129 PECOS PAC ID: 3577472422 Enrollment ID: O20040405001860

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. Adelle M Azam 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
Adelle M Azam, ARNP 1700 Nw 49th St Ste 125, Fort Lauderdale, FL 33309-3750 Ph: (954) 320-2640	Adelle M Azam, ARNP 3100 Coral Hills Dr Ste 202, Coral Springs, FL 33065-4139 Ph: (954) 320-2640

Reviews and Comments

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Adelle M Azam, ARNP - Medicare Nurse Practitioner in Coral Springs, FL