Dr Evenstar Amelia Forbach, DNP in Flagstaff, AZ

Dr Evenstar Amelia Forbach, DNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Flagstaff, Arizona. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Arizona Advanced Surgery Llc and her current practice location is 7510 W Bridle Trl, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 600-1731.

Dr Evenstar Amelia Forbach is licensed to practice in Arizona (license number 240186) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033788427.

Contact Information

	Dr Evenstar Amelia Forbach, DNP
	7510 W Bridle Trl, Flagstaff, AZ 86001-8021
	(928) 600-1731
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Evenstar Amelia Forbach
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	7510 W Bridle Trl, Flagstaff, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Evenstar Amelia Forbach graduated from nursing school in 2019

NPI Data:

NPI Number: 1033788427
Provider Enumeration Date: 06/21/2021
Last Update Date: 06/21/2021

Medicare PECOS Information:

PECOS PAC ID: 5193122919
Enrollment ID: I20210921003885

Medical Identifiers

Medical identifiers for Dr Evenstar Amelia Forbach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033788427	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	240186 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Flagstaff Medical Center	Flagstaff, AZ	Hospital
Yavapai Regional Medical Center	Prescott, AZ	Hospital
Verde Valley Medical Center	Cottonwood, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Arizona Advanced Surgery Llc	0547690166	64

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. Dr Evenstar Amelia Forbach allows following entities to bill medicare on her behalf.

Entity Name	Arizona Advanced Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346880838 PECOS PAC ID: 0547690166 Enrollment ID: O20200423000406

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. Dr Evenstar Amelia Forbach 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
Dr Evenstar Amelia Forbach, DNP 7510 W Bridle Trl, Flagstaff, AZ 86001-8021 Ph: (928) 600-1731	Dr Evenstar Amelia Forbach, DNP 7510 W Bridle Trl, Flagstaff, AZ 86001-8021 Ph: (928) 600-1731

Reviews and Comments

Nurse Practitioner Nurses in Flagstaff, AZ

Dr. Sarah Lynn Salce, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 S Thompson St, Flagstaff, AZ 86001 Phone: 928-226-6400 Fax: 928-226-6401
Wyatt D Woodard, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 N Leroux St, Ste B, Flagstaff, AZ 86001 Phone: 928-779-0361 Fax: 928-779-7143
Mr. Richard R Valdes, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2920 N 4th St, Flagstaff, AZ 86004 Phone: 928-213-6100 Fax: 928-774-4808
Ms. Sherry Ann Mace, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 77 W Forest Ave, Suite 301, Flagstaff, AZ 86001 Phone: 928-773-2538
Ms. Julie Marie Polzin, RN, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 107 E Oak Ave, Suite 201, Flagstaff, AZ 86001 Phone: 928-913-8800 Fax: 928-913-8801
Ms. Sarah Mcnaughton Preston, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1424 N Evergreen Dr, Flagstaff, AZ 86001 Phone: 928-699-9777

Dr Evenstar Amelia Forbach, DNP - Medicare Nurse Practitioner in Flagstaff, AZ