Jonathan Park Buckwalter, FNP-C - Medicare Nurse Practitioner in Prescott Valley, AZ

Jonathan Park Buckwalter, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Prescott Valley, Arizona. His current practice location is 3075 N Windsong Dr Ste A, Prescott Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 350-8780.

Jonathan Park Buckwalter is licensed to practice in Arizona (license number AP10723) 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 1427569110.

Contact Information

Jonathan Park Buckwalter, FNP-C
3075 N Windsong Dr Ste A,
Prescott Valley, AZ 86314-1208
(928) 350-8780
Not Available

Map and Direction




Provider's Profile

Full NameJonathan Park Buckwalter
GenderMale
SpecialityNurse Practitioner - Family
Location3075 N Windsong Dr Ste A, Prescott Valley, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427569110
  • Provider Enumeration Date: 10/20/2017
  • Last Update Date: 07/30/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6002237740
  • Enrollment ID: I20200604000632

Medical Identifiers

Medical identifiers for Jonathan Park Buckwalter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427569110NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN174745 (Arizona)Secondary
363LF0000XNurse Practitioner - Family AP10723 (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. Jonathan Park Buckwalter allows following entities to bill medicare on his behalf.
Entity NameYavapai Primary Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346871076
PECOS PAC ID: 6305275504
Enrollment ID: O20200409002754

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. Jonathan Park Buckwalter 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 AddressPractice Location Address
Jonathan Park Buckwalter, FNP-C
Po Box 26568,
Prescott Valley, AZ 86312-6568

Ph: (928) 778-1251
Jonathan Park Buckwalter, FNP-C
3075 N Windsong Dr Ste A,
Prescott Valley, AZ 86314-1208

Ph: (928) 350-8780

Reviews and Comments


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Mrs. Holly Ann Allred, FNP
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Phone: 928-350-8780    Fax: 888-674-1228
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Kelly L Marshall, FNP
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Phone: 928-442-8710    Fax: 928-442-8742
Lindsey M Robbins, FNP-C
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Phone: 928-772-2582    
Amy M Thein, FNP
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Practice Location: 3345 N Windsong Dr, Prescott Valley, AZ 86314
Phone: 928-445-5211    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.