Mr Michael Aydalla, AGACNP-BC, MSN, RN - Medicare Nurse Practitioner in Harlingen, TX

Mr Michael Aydalla, AGACNP-BC, MSN, RN is a medicare enrolled "Nurse Practitioner" in Harlingen, Texas. His current practice location is 5501 Us-77, Harlingen, Texas. You can reach out to his office (for appointments etc.) via phone at (956) 365-1000.

Mr Michael Aydalla is licensed to practice in Texas (license number 1045274) 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 1790357937.

Contact Information

Mr Michael Aydalla, AGACNP-BC, MSN, RN
5501 Us-77,
Harlingen, TX 78550
(956) 365-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Michael Aydalla
GenderMale
SpecialityNurse Practitioner
Location5501 Us-77, Harlingen, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790357937
  • Provider Enumeration Date: 07/16/2021
  • Last Update Date: 04/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4082003371
  • Enrollment ID: I20211108000187

Medical Identifiers

Medical identifiers for Mr Michael Aydalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790357937NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1045274 (Texas)Secondary
363LA2200XNurse Practitioner - Adult Health 1045274 (Texas)Secondary
363LG0600XNurse Practitioner - Gerontology 1045274 (Texas)Secondary
363L00000XNurse Practitioner 1045274 (Texas)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. Mr Michael Aydalla allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NamePadmini Bhadriraju Md P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619278876
PECOS PAC ID: 7214118173
Enrollment ID: O20110224000875
Entity NameBenchmark Inpatient Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285111021
PECOS PAC ID: 3678821469
Enrollment ID: O20180810001269
Entity NameGulf Coast Physician Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922889187
PECOS PAC ID: 7214388826
Enrollment ID: O20240108006134

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. Mr Michael Aydalla 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 AddressPractice Location Address
Mr Michael Aydalla, AGACNP-BC, MSN, RN
2200 Colorado Ave Apt 208,
Santa Monica, CA 90404-5539

Ph: (361) 960-3691
Mr Michael Aydalla, AGACNP-BC, MSN, RN
5501 Us-77,
Harlingen, TX 78550

Ph: (956) 365-1000

Reviews and Comments


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Phone: 956-423-8042    Fax: 956-423-2907

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.