Yalda Farah Haidrey, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Phoenix, Arizona. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Physician Assistant. Her current practice location is
320 E Portland St Apt 405, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(949) 207-8859.
Yalda Farah Haidrey is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1790591493.
Provider's Profile
| Full Name | Yalda Farah Haidrey |
|---|
| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 1 Years |
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| Location | 320 E Portland St Apt 405, Phoenix, Arizona |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Yalda Farah Haidrey graduated from nursing school in 2025
NPI Data:
- NPI Number: 1790591493
- Provider Enumeration Date: 12/06/2024
- Last Update Date: 12/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113404955
- Enrollment ID: I20260122002751
Medical Identifiers
Medical identifiers for Yalda Farah Haidrey such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790591493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Yalda Farah Haidrey 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 |
|---|
Yalda Farah Haidrey,
320 E Portland St Apt 405,
Phoenix, AZ 85004-1882
Ph: (949) 207-8859 | Yalda Farah Haidrey,
320 E Portland St Apt 405,
Phoenix, AZ 85004-1882
Ph: (949) 207-8859 |
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