Theresa Marin, NP in Fort Mohave, AZ - Medicare Nurse Practitioner

Theresa Marin, NP is a medicare enrolled "Nurse Practitioner - Family" in Fort Mohave, Arizona. Her current practice location is 1611 E Joy Ln, Fort Mohave, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 788-8000.

Theresa Marin is licensed to practice in Arizona (license number 247988) 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 1174121883.

Contact Information

	Theresa Marin, NP
	1611 E Joy Ln, Fort Mohave, AZ 86426-8807
	(928) 788-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Marin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1611 E Joy Ln, Fort Mohave, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174121883
Provider Enumeration Date: 10/14/2020
Last Update Date: 10/14/2020

Medicare PECOS Information:

PECOS PAC ID: 5890100390
Enrollment ID: I20210216000400

Medical Identifiers

Medical identifiers for Theresa Marin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174121883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	247988 (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. Theresa Marin allows following entities to bill medicare on her behalf.

Entity Name	West Coast Wound And Skin Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437675980 PECOS PAC ID: 7315212834 Enrollment ID: O20200803000710

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. Theresa Marin 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
Theresa Marin, NP 3469 Sunglow Dr, Bullhead City, AZ 86429-7623 Ph: (702) 420-5048	Theresa Marin, NP 1611 E Joy Ln, Fort Mohave, AZ 86426-8807 Ph: (928) 788-8000

Reviews and Comments

Nurse Practitioner Nurses in Fort Mohave, AZ

Tiffany Ann Miller, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273
Mr. Ian Lloyd Ruiz Baccay, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5263 S Highway 95 , Fort Mohave, Az 86426, Fort Mohave, AZ 86426 Phone: 928-704-6400
Dilyara Cannon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5653 S Highway 95, Ste A, Fort Mohave, AZ 86426 Phone: 928-768-2558 Fax: 928-768-2874
Kristen Peddycord, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5330 S Highway 95, Fort Mohave, AZ 86426 Phone: 928-788-2273
Deborah Ann Hughson, RNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5263 Hwy 95, Fort Mohave, AZ 86426 Phone: 928-704-6400 Fax: 928-768-1150
Mr. Larry Lee Bousquet Ii, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1611 E Joy Ln # 1, Fort Mohave, AZ 86426 Phone: 928-768-9496 Fax: 928-768-1943

Theresa Marin, NP - Medicare Nurse Practitioner in Fort Mohave, AZ