Angela Ghazazadeh Vallenari, - Medicare Nurse Practitioner in West Allis, WI

Angela Ghazazadeh Vallenari, is a medicare enrolled "Nurse Practitioner" in West Allis, Wisconsin. Her current practice location is 8905 W Lincoln Ave, Suite 501, West Allis, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 978-2229.

Angela Ghazazadeh Vallenari is licensed to practice in Wisconsin (license number 5707) 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 1194141291.

Contact Information

Angela Ghazazadeh Vallenari,
8905 W Lincoln Ave, Suite 501,
West Allis, WI 53227-2468
(414) 978-2229
Not Available



Provider's Profile

Full NameAngela Ghazazadeh Vallenari
GenderFemale
SpecialityNurse Practitioner
Location8905 W Lincoln Ave, West Allis, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1194141291
  • Provider Enumeration Date: 03/13/2014
  • Last Update Date: 09/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0840423752
  • Enrollment ID: I20140430000716

Medical Identifiers

Medical identifiers for Angela Ghazazadeh Vallenari such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194141291NPI-NPPES
100036671MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 5707 (Wisconsin)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. Angela Ghazazadeh Vallenari allows following entities to bill medicare on her behalf.
Entity NameAurora Advanced Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

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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. Angela Ghazazadeh Vallenari 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
Angela Ghazazadeh Vallenari,
Po Box 735044,
Chicago, IL 60673-5044

Ph: () -
Angela Ghazazadeh Vallenari,
8905 W Lincoln Ave, Suite 501,
West Allis, WI 53227-2468

Ph: (414) 978-2229

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Nurse Practitioner Nurses in West Allis, WI

Paul Facchiano, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 6609 W Greenfield Ave, West Allis, WI 53214
Phone: 414-257-8500    
Michelle Cyr, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227
Phone: 414-255-0300    
Autumn D Unrein, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2424 S 90th St Fl 2, West Allis, WI 53227
Phone: 414-328-8777    Fax: 414-328-8110
Stephanie Schell,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2424 S 90th St Fl 3, West Allis, WI 53227
Phone: 414-328-8270    Fax: 414-328-8275
Katelyn Nieman, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2514 S 102nd St Ste 160, West Allis, WI 53227
Phone: 414-255-0340    Fax: 855-342-0199
Mr. Joseph Kozlosky, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 10827 W Lincoln Ave, West Allis, WI 53227
Phone: 414-541-6010    Fax: 414-541-5509
John Thomas Olstad, PMHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1706 S 68th St, West Allis, WI 53214
Phone: 414-667-4800    

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