Michele Mccormick, NP-C is a medicare enrolled "Internal Medicine - Hospice And Palliative Medicine" in Show Low, Arizona. She graduated from nursing school in 2016 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Leon A Driss Pc and her current practice location is
5300 S Sutter Dr Ste 12, Show Low, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 251-2541.
Michele Mccormick is licensed to practice in Arizona (license number AP10057) 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 1588199160.
Provider's Profile
| Full Name | Michele Mccormick |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 5300 S Sutter Dr Ste 12, Show Low, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Michele Mccormick graduated from nursing school in 2016
NPI Data:
- NPI Number: 1588199160
- Provider Enumeration Date: 04/20/2017
- Last Update Date: 06/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072882158
- Enrollment ID: I20170705001856
Medical Identifiers
Medical identifiers for Michele Mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588199160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | RN175096 (Arizona) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | AP10057 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Leon A Driss Pc | 2860481033 | 2 |
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. Michele Mccormick allows following entities to bill medicare on her behalf.
| Entity Name | Leon A Driss Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770500530
PECOS PAC ID: 2860481033
Enrollment ID: O20040511001652 |
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| Entity Name | Premier Mountain Healthcare Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881261857
PECOS PAC ID: 4486058930
Enrollment ID: O20210805003605 |
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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. Michele Mccormick 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 |
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Michele Mccormick, NP-C
5300 S Sutter Dr Ste 12,
Show Low, AZ 85901-8055
Ph: (928) 251-2541 | Michele Mccormick, NP-C
5300 S Sutter Dr Ste 12,
Show Low, AZ 85901-8055
Ph: (928) 251-2541 |
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