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MRS. ANYA PEYSAKHOVICH PA-C
NPI 1215423363
Physician Assistant - Surgical in Corte Madera, CA

Active since July 02, 2018PECOS EnrolledAccepts Medicare Assignment
21 TAMAL VISTA BLVD STE 103, CORTE MADERA, CA 94925(415) 927-7660(415) 927-7663 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 15, 2020, Oct 4, 2019, Jul 2, 2018 (3 updates tracked since 2018).

About Mrs. Anya Peysakhovich Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANYA PEYSAKHOVICH PA-C (NPI 1215423363) is an individual surgical provider in Corte Madera, California, licensed in California (58169) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215423363
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. ANYA PEYSAKHOVICHCredential: PA-C
Location Address21 TAMAL VISTA BLVD STE 103Corte Madera, CA 94925-1133
Mailing Address21 Tamal Vista Blvd Ste 103Corte Madera, CA 94925-1133 · (415) 927-7660 · Fax (415) 927-7663
Phone(415) 927-7660
Fax(415) 927-7663
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 2, 2018
Last NPPES UpdateSeptember 15, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2020
✔ NPI 1215423363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in CA · 58169✔ Licensed in NY · 022137
21 TAMAL VISTA BLVD STE 103, Corte Madera, CA 94925
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Other Names 1

Former Name (1)Ms. Anya Panyushenko Pa-c

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Anya Peysakhovich Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739438268
PECOS Enrollment IDI20200819000463
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PACIFIC SURGERY CENTER
Clinic/Center (Ambulatory Surgical)
21 TAMAL VISTA BLVD STE 103
CORTE MADERA, CA 94925
Marin County (415) 927-7660
TANCREDI F. D'AMORE, M.D FACS. A MEDICAL CORPORATION
Surgery (Plastic and Reconstructive Surgery)
21 TAMAL VISTA BLVD STE 103
CORTE MADERA, CA 94925
Marin County (415) 927-7660

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anya Peysakhovich's NPI number?

The NPI number for Anya Peysakhovich is 1215423363. It was assigned to this individual provider in the NPPES registry on July 2, 2018. The provider is also known as Ms. Anya Panyushenko Pa-C.

Where is Anya Peysakhovich located?

Anya Peysakhovich practices at 21 Tamal Vista Blvd Ste 103, Corte Madera, CA 94925. The listed phone number is (415) 927-7660.

What is Anya Peysakhovich's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Anya Peysakhovich enrolled in Medicare?

Yes. Anya Peysakhovich is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Anya Peysakhovich was last updated on September 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.