Mr Manuel Jaymenn Abeyta, FNP-BC in Peridot, AZ

Mr Manuel Jaymenn Abeyta, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Peridot, Arizona. His current practice location is 103 Medicine Way Rd, Peridot, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 475-1400.

Mr Manuel Jaymenn Abeyta is licensed to practice in Arizona (license number 312488) 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 1871323600.

Contact Information

	Mr Manuel Jaymenn Abeyta, FNP-BC
	103 Medicine Way Rd, Peridot, AZ 85542-5000
	(928) 475-1400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Manuel Jaymenn Abeyta
Gender	Male
Speciality	Nurse Practitioner - Family
Location	103 Medicine Way Rd, Peridot, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871323600
Provider Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 8628519758
Enrollment ID: I20240917002094

Medical Identifiers

Medical identifiers for Mr Manuel Jaymenn Abeyta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871323600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	312488 (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 Manuel Jaymenn Abeyta allows following entities to bill medicare on his behalf.

Entity Name	San Carlos Apache Healthcare Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265813075 PECOS PAC ID: 0648580597 Enrollment ID: O20151105002091

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 Manuel Jaymenn Abeyta 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 Manuel Jaymenn Abeyta, FNP-BC 103 Medicine Way Rd, Peridot, AZ 85542-5000 Ph: (928) 475-1400	Mr Manuel Jaymenn Abeyta, FNP-BC 103 Medicine Way Rd, Peridot, AZ 85542-5000 Ph: (928) 475-1400

Reviews and Comments

Nurse Practitioner Nurses in Peridot, AZ

Tanisha Danielle Morales, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400
Leloole Sole Barika, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1400
Jared L Rasmussen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 E Medicine Way, Peridot, AZ 85542 Phone: 928-475-1400
Jessica M Madrid-warden, NP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1400
Anthony Robert Paul, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Road, Peridot, AZ 85542 Phone: 928-475-1200
Camilee Hayes, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 Medicine Way Rd, Peridot, AZ 85542 Phone: 928-475-1400

Mr Manuel Jaymenn Abeyta, FNP-BC - Medicare Nurse Practitioner in Peridot, AZ