Maseray Fofanah, FNP - Medicare Nurse Practitioner in Phoenix, AZ

Maseray Fofanah, FNP is a medicare enrolled "Nurse Practitioner - Family" in Phoenix, Arizona. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Qofl Services Llc and her current practice location is 1717 W Northern Ave Ste 211, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 249-2655.

Maseray Fofanah is licensed to practice in Texas (license number 1068830) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215638465.

Contact Information

Maseray Fofanah, FNP
1717 W Northern Ave Ste 211,
Phoenix, AZ 85021-5469
(480) 249-2655
Not Available

Map and Direction




Provider's Profile

Full NameMaseray Fofanah
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1717 W Northern Ave Ste 211, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maseray Fofanah graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1215638465
  • Provider Enumeration Date: 03/14/2023
  • Last Update Date: 03/14/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012406465
  • Enrollment ID: I20251027004472

Medical Identifiers

Medical identifiers for Maseray Fofanah such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215638465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 1068830 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Qofl Services Llc670903013321

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. Maseray Fofanah allows following entities to bill medicare on her behalf.
Entity NameProvider Partners Care Management LP
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013348028
PECOS PAC ID: 9335379270
Enrollment ID: O20140220001179
Entity NameQofl Services LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942554837
PECOS PAC ID: 6709030133
Enrollment ID: O20140429000780
Entity NameSignify Health Medical Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20191216001523

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. Maseray Fofanah 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
Maseray Fofanah, FNP
257 N State Rd Apt 25a,
Springfield, PA 19064-1826

Ph: (161) 076-6149
Maseray Fofanah, FNP
1717 W Northern Ave Ste 211,
Phoenix, AZ 85021-5469

Ph: (480) 249-2655

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
Sara Julander, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013
Phone: 602-277-4161    Fax: 602-266-3481
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: Not Enrolled in Medicare
Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012
Phone: 602-462-1132    
Dr. Monica Nassim Jeffers, NMD, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022
Phone: 602-330-3420    
Mrs. Kristin Carol Kolodziej, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3811 E Bell Rd Ste 206, Phoenix, AZ 85032
Phone: 480-680-6000    Fax: 480-306-5966
Mrs. Melanie Ann Nugent, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050
Phone: 602-257-7673    Fax: 602-257-7344

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.