Dr Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP - Medicare Nurse Practitioner in Flagstaff, AZ

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Dr Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP is a medicare enrolled "Nurse Practitioner - Pediatrics, Critical Care" in Flagstaff, Arizona. Her current practice location is 1200 N Beaver St, Flagstaff, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 773-2112.

Dr Theresa Yvonne Gray Rashdan is licensed to practice in Arizona (license number 325232) 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 1255438818.

Contact Information

Dr Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP
1200 N Beaver St,
Flagstaff, AZ 86001-3118
(928) 773-2112
Not Available

Map and Direction




Provider's Profile

Full NameDr Theresa Yvonne Gray Rashdan
GenderFemale
SpecialityNurse Practitioner - Pediatrics, Critical Care
Location1200 N Beaver St, Flagstaff, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1255438818
  • Provider Enumeration Date: 09/17/2006
  • Last Update Date: 06/18/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6103352273
  • Enrollment ID: I20241212001547

Medical Identifiers

Medical identifiers for Dr Theresa Yvonne Gray Rashdan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255438818NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 238039 (Louisiana)Secondary
363LF0000XNurse Practitioner - Family ARNP9322046 (Florida)Secondary
363LP0200XNurse Practitioner - Pediatrics ARNP9322046 (Florida)Secondary
363LP0200XNurse Practitioner - Pediatrics 608590 (Texas)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care 608590 (Texas)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care ARNP9322046 (Florida)Secondary
363LP0222XNurse Practitioner - Pediatrics, Critical Care 325232 (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. Dr Theresa Yvonne Gray Rashdan allows following entities to bill medicare on her behalf.
Entity NameChildrens Hospital Medical Practice Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821090713
PECOS PAC ID: 5597944579
Enrollment ID: O20110124000073

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 Theresa Yvonne Gray Rashdan 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 AddressPractice Location Address
Dr Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP
2014 127th Terrace E,
Parrish, FL 34219

Ph: (941) 776-3579		Dr Theresa Yvonne Gray Rashdan, MSN, CPNP-PC/AC, FNP
1200 N Beaver St,
Flagstaff, AZ 86001-3118

Ph: (928) 773-2112

Reviews and Comments


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Phone: 928-913-8800    Fax: 928-913-8801

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.