Mrs Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Glendale, AZ

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Mrs Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Glendale, Arizona. Her current practice location is 18001 N 79th Ave Ste B48, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (888) 906-8301.

Mrs Irina Vladimirovna Ashamalla is licensed to practice in Arizona (license number AP10066) 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 1205365772.

Contact Information

Mrs Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC
18001 N 79th Ave Ste B48,
Glendale, AZ 85308-8393
(888) 906-8301
(623) 404-6602

Map and Direction




Provider's Profile

Full NameMrs Irina Vladimirovna Ashamalla
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location18001 N 79th Ave Ste B48, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205365772
  • Provider Enumeration Date: 06/08/2017
  • Last Update Date: 08/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5698032449
  • Enrollment ID: I20171201002914

Medical Identifiers

Medical identifiers for Mrs Irina Vladimirovna Ashamalla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205365772NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP10066 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP10066 (Arizona)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. Mrs Irina Vladimirovna Ashamalla allows following entities to bill medicare on her behalf.
Entity NameNotre Dame Behavioral Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356749543
PECOS PAC ID: 0042530065
Enrollment ID: O20150514002135
Entity NameMental Health Wellness Boutique
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972266757
PECOS PAC ID: 6709272479
Enrollment ID: O20220405002346

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. Mrs Irina Vladimirovna Ashamalla 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
Mrs Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC
18001 N 79th Ave Ste B48,
Glendale, AZ 85308-8393

Ph: (888) 906-8301		Mrs Irina Vladimirovna Ashamalla, MSN, FNP-C, PMHNP-BC
18001 N 79th Ave Ste B48,
Glendale, AZ 85308-8393

Ph: (888) 906-8301

Reviews and Comments


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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.

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