Mason Alden Standifird, FNP in Payson, AZ - Medicare Nurse Practitioner

Mason Alden Standifird, FNP is a medicare enrolled "Nurse Practitioner - Family" in Payson, Arizona. His current practice location is 127 E Main St Ste D, Payson, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 468-8603.

Mason Alden Standifird is licensed to practice in Arizona (license number 241718) 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 1396551453.

Contact Information

	Mason Alden Standifird, FNP
	127 E Main St Ste D, Payson, AZ 85541-5646
	(928) 468-8603
	Not Available

Map and Direction

Provider's Profile

Full Name	Mason Alden Standifird
Gender	Male
Speciality	Nurse Practitioner - Family
Location	127 E Main St Ste D, Payson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396551453
Provider Enumeration Date: 12/04/2024
Last Update Date: 12/06/2024

Medicare PECOS Information:

PECOS PAC ID: 0042749194
Enrollment ID: I20250117003733

Medical Identifiers

Medical identifiers for Mason Alden Standifird such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396551453	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	241718 (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. Mason Alden Standifird allows following entities to bill medicare on his behalf.

Entity Name	Ponderosa Family Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144535626 PECOS PAC ID: 1456548015 Enrollment ID: O20101208000388

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. Mason Alden Standifird 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
Mason Alden Standifird, FNP 700 N Mclane Rd, Payson, AZ 85541-3633 Ph: (928) 978-2875	Mason Alden Standifird, FNP 127 E Main St Ste D, Payson, AZ 85541-5646 Ph: (928) 468-8603

Reviews and Comments

Nurse Practitioner Nurses in Payson, AZ

Tara Gann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 W Main St Ste B, Payson, AZ 85541 Phone: 928-472-6000 Fax: 844-752-8246
Rachel Denise Armstrong, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 E Main St Ste D100, Payson, AZ 85541 Phone: 928-474-9399 Fax: 928-474-9831
Christy Rene Carner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 W Pinecone Cir, Payson, AZ 85541 Phone: 602-989-0362
Jessica L Balcom, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 807 S Ponderosa St, Payson, AZ 85541 Phone: 928-471-3222
Ramona T Coppelli, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 708 Coeur D'alene, Payson, AZ 85541 Phone: 928-474-5259
Suzanne Lea Morse, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 708 E State Highway 260 Ste B1, Payson, AZ 85541 Phone: 928-474-2234 Fax: 928-474-4056

Mason Alden Standifird, FNP - Medicare Nurse Practitioner in Payson, AZ