Pauline Lerma Neiswonger, FNP in San Tan Valley, AZ

Pauline Lerma Neiswonger, FNP is a medicare enrolled "Nurse Practitioner - Family" in San Tan Valley, Arizona. Her current practice location is 2842 E Inca Ln, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 323-3000.

Pauline Lerma Neiswonger is licensed to practice in Arizona (license number 234646) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922645191.

Contact Information

	Pauline Lerma Neiswonger, FNP
	2842 E Inca Ln, San Tan Valley, AZ 85140-1324
	(480) 323-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Pauline Lerma Neiswonger
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2842 E Inca Ln, San Tan 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: 1922645191
Provider Enumeration Date: 12/05/2019
Last Update Date: 05/21/2021

Medicare PECOS Information:

PECOS PAC ID: 4183033822
Enrollment ID: I20210510000230

Medical Identifiers

Medical identifiers for Pauline Lerma Neiswonger such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922645191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	234646 (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. Pauline Lerma Neiswonger allows following entities to bill medicare on her behalf.

Entity Name	The Arizona Partnership For Immunization
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942532189 PECOS PAC ID: 8325479371 Enrollment ID: O20250303001194

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. Pauline Lerma Neiswonger 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
Pauline Lerma Neiswonger, FNP 2842 E Inca Ln, San Tan Valley, AZ 85140-1324 Ph: (480) 323-3000	Pauline Lerma Neiswonger, FNP 2842 E Inca Ln, San Tan Valley, AZ 85140-1324 Ph: (480) 323-3000

Reviews and Comments

Nurse Practitioner Nurses in San Tan Valley, AZ

Laura Babb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-677-8283
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Christina Joyave, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-821-3616
John Cruz Ortiz Jr., ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-394-4000
Tara L Luke, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282
Andrea Zander, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36351 N Gantzel Rd Ste 127-128, San Tan Valley, AZ 85140 Phone: 480-336-2815

Pauline Lerma Neiswonger, FNP - Medicare Nurse Practitioner in San Tan Valley, AZ