Mr Allen Vaughan Prettyman, NP in Green Valley, AZ

Mr Allen Vaughan Prettyman, NP is a medicare enrolled "Nurse Practitioner - Family" in Green Valley, Arizona. His current practice location is 1141 S La Canada Dr, Green Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (520) 694-8888.

Mr Allen Vaughan Prettyman is licensed to practice in Arizona (license number AP7965) 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 1942202353.

Contact Information

	Mr Allen Vaughan Prettyman, NP
	1141 S La Canada Dr, Green Valley, AZ 85614-1945
	(520) 694-8888
	(520) 575-2476

Map and Direction

Provider's Profile

Full Name	Mr Allen Vaughan Prettyman
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1141 S La Canada Dr, Green Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942202353
Provider Enumeration Date: 08/15/2005
Last Update Date: 10/01/2024

Medicare PECOS Information:

PECOS PAC ID: 7517025539
Enrollment ID: I20240730004027

Medical Identifiers

Medical identifiers for Mr Allen Vaughan Prettyman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942202353	NPI	-	NPPES
11251386	Other	DE	CAQH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	LG0000129 (Delaware)	Secondary
363LF0000X	Nurse Practitioner - Family	AP7965 (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. Mr Allen Vaughan Prettyman allows following entities to bill medicare on his behalf.

Entity Name	Banner-university Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

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. Mr Allen Vaughan Prettyman 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
Mr Allen Vaughan Prettyman, NP 2800 E Ajo Way, Tucson, AZ 85713-6204 Ph: (520) 694-8888	Mr Allen Vaughan Prettyman, NP 1141 S La Canada Dr, Green Valley, AZ 85614-1945 Ph: (520) 694-8888

Reviews and Comments

Nurse Practitioner Nurses in Green Valley, AZ

Ms. Mary Ellen Francl, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 191 W. Esperanza Blvd., Caremore, Green Valley, AZ 85614 Phone: 520-791-7300
Jenna Kirsten Roschi, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 164 E Calle Trona, Green Valley, AZ 85614 Phone: 260-402-6676
Hazel Gonzales, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 275 W Continental Rd Ste 141, Green Valley, AZ 85622 Phone: 520-400-9229 Fax: 520-453-4522
Mrs. Elizabeth L Riley, ANP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 W. Camino Casa Verde, Suite 100, Green Valley, AZ 85614 Phone: 520-625-1760 Fax: 520-648-1394
Mrs. Adrianne Jo O'brien, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1285 W Camino Encanto, Green Valley, AZ 85622 Phone: 520-625-9400
Dr. Ashley N. Holton, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1260 S Campbell Ave Bldg 2, Green Valley, AZ 85614 Phone: 520-407-5400 Fax: 520-407-5990
Stephanie L Jones, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1141 S La Canada Dr, Green Valley, AZ 85614 Phone: 520-694-3038

Mr Allen Vaughan Prettyman, NP - Medicare Nurse Practitioner in Green Valley, AZ