Gayane Avagimian, PMHNP in North Hollywood, CA

Gayane Avagimian, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in North Hollywood, California. Her current practice location is 12215 Victory Blvd, North Hollywood, California. You can reach out to her office (for appointments etc.) via phone at (213) 219-5063.

Gayane Avagimian is licensed to practice in California (license number 95028855) 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 1154171106.

Contact Information

	Gayane Avagimian, PMHNP
	12215 Victory Blvd, North Hollywood, CA 91606-3206
	(213) 219-5063
	Not Available

Map and Direction

Provider's Profile

Full Name	Gayane Avagimian
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	12215 Victory Blvd, North Hollywood, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154171106
Provider Enumeration Date: 03/25/2024
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9537687439
Enrollment ID: I20250514003208

Medical Identifiers

Medical identifiers for Gayane Avagimian such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154171106	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95028855 (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. Gayane Avagimian allows following entities to bill medicare on her behalf.

Entity Name	Southern Coast Psych Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467269068 PECOS PAC ID: 3476078718 Enrollment ID: O20250418000746

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. Gayane Avagimian 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
Gayane Avagimian, PMHNP 720 E San Jose Ave Unit 104, Burbank, CA 91501-3606 Ph: (213) 219-5063	Gayane Avagimian, PMHNP 12215 Victory Blvd, North Hollywood, CA 91606-3206 Ph: (213) 219-5063

Reviews and Comments

Nurse Practitioner Nurses in North Hollywood, CA

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Alfonso Cruz Manuel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7653 Coldwater Canyon Ct, North Hollywood, CA 91605 Phone: 818-200-7062
Victoria Vicky Ovakyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6248 Satsuma Ave, North Hollywood, CA 91606 Phone: 818-282-8174
Harshdeep Singh Brar, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11130 Otsego St Apt 431, North Hollywood, CA 91601 Phone: 559-394-8987
Ani Kirakosyan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10628 Riverside Dr Ste 4, North Hollywood, CA 91602 Phone: 818-259-9412

Gayane Avagimian, PMHNP - Medicare Nurse Practitioner in North Hollywood, CA