Ayesha Fazli Walden, WHNP/CNM is a medicare enrolled "Advanced Practice Midwife" in Porterville, California. Her current practice location is
229 W Cherry Ave, Porterville, California. You can reach out to her office (for appointments etc.) via phone at
(559) 789-0277.
Ayesha Fazli Walden is licensed to practice in California (license number 235981) 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 1609341197.
Provider's Profile
| Full Name | Ayesha Fazli Walden |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 229 W Cherry Ave, Porterville, 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: 1609341197
- Provider Enumeration Date: 10/10/2018
- Last Update Date: 10/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638523186
- Enrollment ID: I20250605003054
Medical Identifiers
Medical identifiers for Ayesha Fazli Walden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609341197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LW0102X | Nurse Practitioner - Women's Health | 95010234 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 235981 (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. Ayesha Fazli Walden allows following entities to bill medicare on her behalf.
| Entity Name | Family Healthcare Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164517744
PECOS PAC ID: 6305756339
Enrollment ID: O20040123000681 |
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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. Ayesha Fazli Walden 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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Ayesha Fazli Walden, WHNP/CNM
352 Aqua Way,
Brea, CA 92821-2161
Ph: (805) 300-5153 | Ayesha Fazli Walden, WHNP/CNM
229 W Cherry Ave,
Porterville, CA 93257-3401
Ph: (559) 789-0277 |
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