Catherine R Nevels, FNP is a medicare enrolled "Nurse Practitioner" physician in Fort Mohave, Arizona. Her current practice location is
1510 E Wagon Wheel Ln Ste 110, Fort Mohave, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 788-3333.
Catherine R Nevels is licensed to practice in Arizona (license number AP10817) 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 1326558222.
Physician's Profile
| Full Name | Catherine R Nevels |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1326558222
- Provider Enumeration Date: 10/05/2017
- Last Update Date: 06/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 8325307754
- Enrollment ID: I20180110003292
Medical Identifiers
Medical identifiers for Catherine R Nevels such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326558222 | NPI | - | NPPES |
| 336912 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | AP10817 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP10817 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | AP10817 (Arizona) | 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. Catherine R Nevels allows following entities to bill medicare on her behalf.
| Entity Name | Tri-state Medical Specialists Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649598426
PECOS PAC ID: 1850422023
Enrollment ID: O20100702000024 |
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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. Catherine R Nevels 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 |
|---|
Catherine R Nevels, FNP
818 S Raum Park Dr,
Golconda, IL 62938-9493
Ph: (770) 679-1422 | Catherine R Nevels, FNP
1510 E Wagon Wheel Ln Ste 110,
Fort Mohave, AZ 86426-6698
Ph: (928) 788-3333 |
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