Stephanie Deborah Kotsur, NP is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Queen Creek, Arizona. Her current practice location is
21321 E Ocotillo Rd Ste 133, Queen Creek, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 987-5525.
Stephanie Deborah Kotsur is licensed to practice in Arizona (license number AP11222) 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 1235620170.
Physician's Profile
| Full Name | Stephanie Deborah Kotsur |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
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| Location | 21321 E Ocotillo Rd Ste 133, Queen Creek, 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: 1235620170
- Provider Enumeration Date: 05/26/2018
- Last Update Date: 03/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 9436406253
- Enrollment ID: I20180724003054
Medical Identifiers
Medical identifiers for Stephanie Deborah Kotsur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1235620170 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | AP11222 (Arizona) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | AP11222 (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. Stephanie Deborah Kotsur allows following entities to bill medicare on her behalf.
| Entity Name | Allied Internal Medicine Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124408232 PECOS PAC ID: 7315251964 Enrollment ID: O20150917003141 |
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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. Stephanie Deborah Kotsur 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 |
Stephanie Deborah Kotsur, NP 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 Ph: (480) 987-5525 | Stephanie Deborah Kotsur, NP 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142-5995 Ph: (480) 987-5525 |
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