Jeff John Waknitz, is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Surprise, Arizona. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Banner Physician Specialists Arizona Llc and his current practice location is
14820 W Wethersfield Rd, Surprise, Arizona. You can reach out to his office (for appointments etc.) via phone at
(623) 512-8700.
Jeff John Waknitz is licensed to practice in Arizona (license number RN143951) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598115388.
Provider's Profile
| Full Name | Jeff John Waknitz |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 14820 W Wethersfield Rd, Surprise, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jeff John Waknitz graduated from nursing school in 2016
NPI Data:
- NPI Number: 1598115388
- Provider Enumeration Date: 06/13/2016
- Last Update Date: 06/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 2365739034
- Enrollment ID: I20160922002796
Medical Identifiers
Medical identifiers for Jeff John Waknitz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598115388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | RN143951 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Banner Physician Specialists Arizona Llc | 6204002272 | 258 |
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. Jeff John Waknitz allows following entities to bill medicare on his behalf.
| Entity Name | Banner Physician Specialists Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509 |
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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. Jeff John Waknitz 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 |
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Jeff John Waknitz,
14820 W Wethersfield Rd,
Surprise, AZ 85379-5968
Ph: (623) 512-8700 | Jeff John Waknitz,
14820 W Wethersfield Rd,
Surprise, AZ 85379-5968
Ph: (623) 512-8700 |
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