Benvinda Ann Pereira, FNP is a medicare enrolled "Nurse Practitioner - Family" in Quartzsite, Arizona. Her current practice location is
255 N. Central Blvd., Suite #5, Quartzsite, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 927-6105.
Benvinda Ann Pereira is licensed to practice in Arizona (license number AP1431) 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 1053421776.
Provider's Profile
| Full Name | Benvinda Ann Pereira |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 255 N. Central Blvd., Quartzsite, 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: 1053421776
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/03/2019
Medicare PECOS Information:
- PECOS PAC ID: 6406813138
- Enrollment ID: I20041214001216
Medical Identifiers
Medical identifiers for Benvinda Ann Pereira such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053421776 | NPI | - | NPPES |
| 641474 | Medicaid | AZ | |
| Z164332 | Other | AZ | MEDICARE |
| CG7880 | Other | AZ | MEDICARE RAILROAD GROUP |
| AZ0147610 | Other | AZ | BCBS |
| P00235241 | Other | AZ | MEDICARE RAILROAD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | RN115611 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP1431 (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. Benvinda Ann Pereira allows following entities to bill medicare on her behalf.
| Entity Name | La Paz Regional Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053684555
PECOS PAC ID: 1557273356
Enrollment ID: O20031219000694 |
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| Entity Name | La Paz Regional Hospital Inc |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1598038093
PECOS PAC ID: 1557273356
Enrollment ID: O20120409000479 |
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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. Benvinda Ann Pereira 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 |
|---|
Benvinda Ann Pereira, FNP
3815 E Bell Rd Ste 2200,
Phoenix, AZ 85032-2139
Ph: (602) 633-3838 | Benvinda Ann Pereira, FNP
255 N. Central Blvd., Suite #5,
Quartzsite, AZ 85346
Ph: (928) 927-6105 |
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