Mr Douglas Kendall Conley, FNP in Spring Valley, AZ

Mr Douglas Kendall Conley, FNP is a medicare enrolled "Nurse Practitioner - Family" in Spring Valley, Arizona. His current practice location is 17301 E Spring Valley Rd Ste F, Spring Valley, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 632-4909.

Mr Douglas Kendall Conley is licensed to practice in Arizona (license number AP9724) 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 1396289450.

Contact Information

	Mr Douglas Kendall Conley, FNP
	17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333-4263
	(928) 632-4909
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Douglas Kendall Conley
Gender	Male
Speciality	Nurse Practitioner - Family
Location	17301 E Spring Valley Rd Ste F, Spring 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: 1396289450
Provider Enumeration Date: 12/08/2016
Last Update Date: 01/11/2017

Medicare PECOS Information:

PECOS PAC ID: 0840572673
Enrollment ID: I20170131000927

Medical Identifiers

Medical identifiers for Mr Douglas Kendall Conley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396289450	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP9724 (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 Douglas Kendall Conley allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210305000869

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 Douglas Kendall Conley 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 Douglas Kendall Conley, FNP 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333-4263 Ph: (928) 632-4909	Mr Douglas Kendall Conley, FNP 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333-4263 Ph: (928) 632-4909

Reviews and Comments

Nurse Practitioner Nurses in Spring Valley, AZ

Kimberly Ann Whitehill, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973
Mrs. Emily Catherine Norman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17301 E Spring Valley Rd Ste F, Spring Valley, AZ 86333 Phone: 928-632-4909 Fax: 928-632-4973
Mrs. Shannon Marie Roberts, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17301 E Spring Valley Rd Ste G, Spring Valley, AZ 86333 Phone: 928-404-8004

Mr Douglas Kendall Conley, FNP - Medicare Nurse Practitioner in Spring Valley, AZ