Azelin Buttitta, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Wake Forest, North Carolina. Her current practice location is
7401 Trail Blazer Trl, Wake Forest, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 717-9476.
Azelin Buttitta is licensed to practice in New Mexico (license number 82066) 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 1710767728.
Provider's Profile
Full Name | Azelin Buttitta |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 7401 Trail Blazer Trl, Wake Forest, North Carolina |
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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: 1710767728
- Provider Enumeration Date: 10/05/2023
- Last Update Date: 01/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 4688104268
- Enrollment ID: I20250212000806
Medical Identifiers
Medical identifiers for Azelin Buttitta such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710767728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 294936 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 151146 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 82066 (New Mexico) | 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. Azelin Buttitta allows following entities to bill medicare on her behalf.
Entity Name | Main Street Anesthesia Of New Mexico, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275010985 PECOS PAC ID: 3476807538 Enrollment ID: O20181108002622 |
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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. Azelin Buttitta 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 |
Azelin Buttitta, CRNA 7401 Trail Blazer Trl, Wake Forest, NC 27587-4734 Ph: (252) 717-9476 | Azelin Buttitta, CRNA 7401 Trail Blazer Trl, Wake Forest, NC 27587-4734 Ph: (252) 717-9476 |
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