Nuanphan S Poole, is a medicare enrolled "Nurse Practitioner - Family" in Teecnospos, Arizona. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Us Health Dept Of Health And Human Services and her current practice location is
Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 656-5000.
Nuanphan S Poole is licensed to practice in New Mexico (license number CNP-03546) 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 1801393707.
Provider's Profile
Full Name | Nuanphan S Poole |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, 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. |
Medical Education and Training:
- Nuanphan S Poole graduated from nursing school in 2018
NPI Data:
- NPI Number: 1801393707
- Provider Enumeration Date: 04/09/2018
- Last Update Date: 08/01/2018
Medicare PECOS Information:
- PECOS PAC ID: 4385993591
- Enrollment ID: I20180822000261
Medical Identifiers
Medical identifiers for Nuanphan S Poole such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801393707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | CNP-03546 (New Mexico) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Us Health Dept Of Health And Human Services | 9638081623 | 77 |
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. Nuanphan S Poole allows following entities to bill medicare on her behalf.
Entity Name | Dhhs Phs Naihs Shiprock Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780639971 PECOS PAC ID: 0749193837 Enrollment ID: O20031105000809 |
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Entity Name | Us Health Dept Of Health & Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972694602 PECOS PAC ID: 9638081623 Enrollment ID: O20031106000399 |
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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. Nuanphan S Poole 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 |
Nuanphan S Poole, Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001 | Nuanphan S Poole, Us Hwy 160 & Navajo Route 35 - Red Mesa, Teecnospos, AZ 86514 Ph: (928) 656-5000 |
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