Leticia Mora, FNP-C in Phoenix, AZ - Medicare Nurse Practitioner

Leticia Mora, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. Her current practice location is 350 W Thomas Rd # 6nst, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 406-3000.

Leticia Mora is licensed to practice in Arizona (license number 285068) 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 1104538180.

Contact Information

	Leticia Mora, FNP-C
	350 W Thomas Rd # 6nst, Phoenix, AZ 85013-4409
	(602) 406-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Leticia Mora
Gender	Female
Speciality	Nurse Practitioner - Family
Location	350 W Thomas Rd # 6nst, 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: 1104538180
Provider Enumeration Date: 12/21/2022
Last Update Date: 11/27/2024

Medicare PECOS Information:

PECOS PAC ID: 3173994217
Enrollment ID: I20230127000250

Medical Identifiers

Medical identifiers for Leticia Mora such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104538180	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	285068 (Arizona)	Primary
363LA2100X	Nurse Practitioner - Acute Care	285068 (Arizona)	Secondary

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. Leticia Mora allows following entities to bill medicare on her behalf.

Entity Name	Ironwood Physicians Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740269299 PECOS PAC ID: 3577454842 Enrollment ID: O20040324000807

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. Leticia Mora 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
Leticia Mora, FNP-C 240 W Thomas Rd # 301, Phoenix, AZ 85013-4407 Ph: (602) 406-7765	Leticia Mora, FNP-C 350 W Thomas Rd # 6nst, Phoenix, AZ 85013-4409 Ph: (602) 406-3000

Reviews and Comments

Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006 Phone: 602-254-3151 Fax: 602-256-9581
Gia Kay Thompson, F.N.P Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132 Fax: 602-462-1186
Michele A Riep, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012 Phone: 602-462-1132
Tyler Ann Brockhoff, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1710 N 16th St Ste F1, Phoenix, AZ 85006 Phone: 623-224-3618 Fax: 623-244-1595
Rebecca Anne Shaw, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16620 N 40th St Ste E1, Phoenix, AZ 85032 Phone: 602-464-9576 Fax: 480-428-0475
Susannamma Lijan, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6850 W Indian School Rd, Phoenix, AZ 85033 Phone: 623-469-1331
Ms. Aldijana Bjelobrkovic, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4350 N 19th Ave Ste 3, Phoenix, AZ 85015 Phone: 602-279-4975 Fax: 602-279-1108

Leticia Mora, FNP-C - Medicare Nurse Practitioner in Phoenix, AZ