Jenasee Loretta South, in Surprise, AZ - Medicare Advanced Practice Midwife

Jenasee Loretta South, is a medicare enrolled "Advanced Practice Midwife" in Surprise, Arizona. Her current practice location is 14961 W Bell Rd Ste 175, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 547-7205.

Jenasee Loretta South is licensed to practice in * (Not Available) (license number ) 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 1003679846.

Contact Information

	Jenasee Loretta South,
	14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220
	(623) 547-7205
	Not Available

Map and Direction

Provider's Profile

Full Name	Jenasee Loretta South
Gender	Female
Speciality	Advanced Practice Midwife
Location	14961 W Bell Rd Ste 175, Surprise, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003679846
Provider Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024

Medicare PECOS Information:

PECOS PAC ID: 0941747646
Enrollment ID: I20240730004351

Medical Identifiers

Medical identifiers for Jenasee Loretta South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003679846	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	(* (Not Available))	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. Jenasee Loretta South allows following entities to bill medicare on her behalf.

Entity Name	Arizona Maternity And Womens Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568632933 PECOS PAC ID: 0749349637 Enrollment ID: O20081106000711

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. Jenasee Loretta South 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
Jenasee Loretta South, 312 Deon Ln, Idaho Falls, ID 83401-6466 Ph: (208) 201-2256	Jenasee Loretta South, 14961 W Bell Rd Ste 175, Surprise, AZ 85374-3220 Ph: (623) 547-7205

Reviews and Comments

Advanced Practice Midwife Nurses in Surprise, AZ

Danielle Fong, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 14961 W Bell Rd Ste 175, Surprise, AZ 85374 Phone: 623-547-7205
Alexis Bischof, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 14239 W Bell Rd Ste 210, Surprise, AZ 85374 Phone: 623-584-0800 Fax: 623-584-0312
Stephanie B Despain, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 16372 W Alameda Rd, Surprise, AZ 85387 Phone: 928-651-2881
Desiree Andrea Arias, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 14239 W Bell Rd Ste 210, Surprise, AZ 85374 Phone: 623-584-0800 Fax: 623-584-0312
Hayley Olivia Caruthers, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 14961 W Bell Rd Ste 175, Surprise, AZ 85374 Phone: 623-242-9830 Fax: 623-249-5181

Jenasee Loretta South, - Medicare Advanced Practice Midwife in Surprise, AZ