Jaysol Eysbet Venzor, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Sudan, Texas. Her current practice location is
408 Us Highway 84, Sudan, Texas. You can reach out to her office (for appointments etc.) via phone at
(806) 227-2292.
Jaysol Eysbet Venzor is licensed to practice in Texas (license number 1094167) 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 1255054755.
Provider's Profile
Full Name | Jaysol Eysbet Venzor |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 408 Us Highway 84, Sudan, Texas |
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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: 1255054755
- Provider Enumeration Date: 09/21/2022
- Last Update Date: 09/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 0244606242
- Enrollment ID: I20221017001070
Medical Identifiers
Medical identifiers for Jaysol Eysbet Venzor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255054755 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 1094167 (Texas) | 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. Jaysol Eysbet Venzor allows following entities to bill medicare on her behalf.
Entity Name | Sudan Medical Clinic, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215942073 PECOS PAC ID: 7618999004 Enrollment ID: O20051229000131 |
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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. Jaysol Eysbet Venzor 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 |
Jaysol Eysbet Venzor, MSN, APRN, FNP-C 910 W 11th St, Muleshoe, TX 79347-4433 Ph: (806) 729-2019 | Jaysol Eysbet Venzor, MSN, APRN, FNP-C 408 Us Highway 84, Sudan, TX 79371 Ph: (806) 227-2292 |
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