Roxane Jueckstock, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Sun City West, Arizona. Her current practice location is
14418 W Meeker Blvd Ste 210, Sun City West, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 544-8400.
Roxane Jueckstock is licensed to practice in Arizona (license number AP8543) 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 1780044842.
Physician's Profile
| Full Name | Roxane Jueckstock |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 14418 W Meeker Blvd Ste 210, Sun City West, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1780044842
- Provider Enumeration Date: 03/02/2016
- Last Update Date: 11/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870868227
- Enrollment ID: I20171023002103
Medical Identifiers
Medical identifiers for Roxane Jueckstock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1780044842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | AP8543 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP8543 (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. Roxane Jueckstock allows following entities to bill medicare on her behalf.
| Entity Name | Christopher Stalberg Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689818874 PECOS PAC ID: 4082751714 Enrollment ID: O20091028000476 |
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| Entity Name | Greater Phoenix Collaborative Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750686614 PECOS PAC ID: 0941503304 Enrollment ID: O20160120000300 |
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| Entity Name | Summit Medical Group Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053810622 PECOS PAC ID: 3173872835 Enrollment ID: O20180814003015 |
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| Entity Name | Signify Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869 |
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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. Roxane Jueckstock 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 |
Roxane Jueckstock, FNP-BC Po Box 35380, Las Vegas, NV 89133-5380 Ph: (702) 579-3203 | Roxane Jueckstock, FNP-BC 14418 W Meeker Blvd Ste 210, Sun City West, AZ 85375-5291 Ph: (623) 544-8400 |
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