John Andrew Prosser Jr, MSN, FNP-C in Phoenix, AZ

John Andrew Prosser Jr, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. His current practice location is 2640 W Baseline Rd, Suite 111, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 677-8282.

John Andrew Prosser Jr is licensed to practice in Arizona (license number AP5143) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053746503.

Contact Information

	John Andrew Prosser Jr, MSN, FNP-C
	2640 W Baseline Rd, Suite 111, Phoenix, AZ 85041-6492
	(480) 677-8282
	(480) 677-8283

Map and Direction

Provider's Profile

Full Name	John Andrew Prosser Jr
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2640 W Baseline Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053746503
Provider Enumeration Date: 09/03/2013
Last Update Date: 03/03/2016

Medicare PECOS Information:

PECOS PAC ID: 9234363680
Enrollment ID: I20131018000171

Medical Identifiers

Medical identifiers for John Andrew Prosser Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053746503	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP5143 (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. John Andrew Prosser Jr allows following entities to bill medicare on his behalf.

Entity Name	Arizona Post-acute Medical Services 1 Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093254419 PECOS PAC ID: 4688951239 Enrollment ID: O20170508002340

Entity Name	Nm Pacs 2 Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366928749 PECOS PAC ID: 3375892060 Enrollment ID: O20200608000689

Entity Name	Cs Pacs 3 West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073378238 PECOS PAC ID: 8921546797 Enrollment ID: O20241016003681

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. John Andrew Prosser Jr 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
John Andrew Prosser Jr, MSN, FNP-C 4600 S Mill Ave, Ste 280, Tempe, AZ 85282-6850 Ph: (480) 305-2888	John Andrew Prosser Jr, MSN, FNP-C 2640 W Baseline Rd, Suite 111, Phoenix, AZ 85041-6492 Ph: (480) 677-8282

Reviews and Comments

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John Andrew Prosser Jr, MSN, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ