960012 Jj Healthcare is a
Nurse Practitioner - Family based in Phoenix, Arizona. 960012 Jj Healthcare is licensed to practice in * (Not Available) (license number ) and their current practice location is
10046 N Metro Pkwy W Ste 115, Phoenix, Arizona. It can be reached at their office (for appointments etc.) via phone at
(602) 889-5833.
NPI number for 960012 Jj Healthcare is 1467745687 and their current mailing address is P.o. Box 2954, Phoenix, Arizona. 960012 Jj Healthcare
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1467745687.
Healthcare Provider's Profile
| Full Name | 960012 Jj Healthcare |
|---|
| Type | Facility |
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| Speciality | Nurse Practitioner - Family |
|---|
| Location | 10046 N Metro Pkwy W Ste 115, Phoenix, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1467745687
- Provider Enumeration Date: 05/20/2011
- Last Update Date: 06/03/2011
Medical Identifiers
Medical identifiers for 960012 Jj Healthcare such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467745687 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (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. 960012 Jj Healthcare is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
960012 Jj Healthcare
P.o. Box 2954,
Phoenix, AZ 85062-2954
Ph: (602) 889-5833 | 960012 Jj Healthcare
10046 N Metro Pkwy W Ste 115,
Phoenix, AZ 85051-1411
Ph: (602) 889-5833 |
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