Flora Issanda Stowater, NP in Mesa, AZ - Medicare Nurse Practitioner

Flora Issanda Stowater, NP is a medicare enrolled "Nurse Practitioner" in Mesa, Arizona. Her current practice location is 1855 S Country Club Dr Ste 111-130, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 840-4777.

Flora Issanda Stowater is licensed to practice in Arizona (license number AP11721) 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 1700274321.

Contact Information

	Flora Issanda Stowater, NP
	1855 S Country Club Dr Ste 111-130, Mesa, AZ 85210-6037
	(480) 840-4777
	Not Available

Map and Direction

Provider's Profile

Full Name	Flora Issanda Stowater
Gender	Female
Speciality	Nurse Practitioner
Location	1855 S Country Club Dr Ste 111-130, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700274321
Provider Enumeration Date: 01/05/2015
Last Update Date: 10/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2961813571
Enrollment ID: I20201202001632

Medical Identifiers

Medical identifiers for Flora Issanda Stowater such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700274321	NPI	-	NPPES
1700274321	Medicaid	AZ
47-1340390	Other	AZ	IRS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP11721 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP11721 (Arizona)	Secondary
363L00000X	Nurse Practitioner	AP11721 (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. Flora Issanda Stowater allows following entities to bill medicare on her behalf.

Entity Name	Denova Collaborative Health, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609300854 PECOS PAC ID: 2466437736 Enrollment ID: O20040621001542

Entity Name	Mind 247 Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902472467 PECOS PAC ID: 6406253541 Enrollment ID: O20210916001566

Entity Name	Optimus Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205507563 PECOS PAC ID: 9537556964 Enrollment ID: O20220503001443

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. Flora Issanda Stowater 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
Flora Issanda Stowater, NP Po Box 687, Laveen, AZ 85339-0687 Ph: (480) 840-4777	Flora Issanda Stowater, NP 1855 S Country Club Dr Ste 111-130, Mesa, AZ 85210-6037 Ph: (480) 840-4777

Reviews and Comments

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Flora Issanda Stowater, NP - Medicare Nurse Practitioner in Mesa, AZ