Suzy Arevyan, is a medicare enrolled "Physician Assistant" in Valley Glen, California. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Shine Mmg Inc, California Mobile Medical Group Inc, Aande Medical Group-a Professional Nursing Corporation and her current practice location is
6461 Teesdale Ave, Valley Glen, California. You can reach out to her office (for appointments etc.) via phone at
(818) 688-1544.
Suzy Arevyan is licensed to practice in NU (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174390306.
Provider's Profile
| Full Name | Suzy Arevyan |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 3 Years |
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| Location | 6461 Teesdale Ave, Valley Glen, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Suzy Arevyan graduated from nursing school in 2023
NPI Data:
- NPI Number: 1174390306
- Provider Enumeration Date: 12/07/2023
- Last Update Date: 02/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 5294272654
- Enrollment ID: I20240802000894
Medical Identifiers
Medical identifiers for Suzy Arevyan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1174390306 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (NU) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Shine Mmg Inc | 6103257282 | 25 |
| California Mobile Medical Group Inc | 7719330091 | 16 |
| Aande Medical Group-a Professional Nursing Corporation | 7719388230 | 20 |
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. Suzy Arevyan allows following entities to bill medicare on her behalf.
| Entity Name | Mobile Medical Group Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487169660 PECOS PAC ID: 8224397963 Enrollment ID: O20180125002042 |
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| Entity Name | Shine Mmg Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053930248 PECOS PAC ID: 6103257282 Enrollment ID: O20200505000514 |
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| Entity Name | A&e Medical Group-a Professional Nursing Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1306424502 PECOS PAC ID: 7719388230 Enrollment ID: O20210622001252 |
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| Entity Name | California Mobile Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588439061 PECOS PAC ID: 7719330091 Enrollment ID: O20240202001837 |
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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. Suzy Arevyan 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 |
Suzy Arevyan, 9675 Brighton Way Ste 340, Beverly Hills, CA 90210-5155 Ph: (310) 203-0511 | Suzy Arevyan, 6461 Teesdale Ave, Valley Glen, CA 91606-1246 Ph: (818) 688-1544 |
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