Advanced Wound Care Of Arizona Pllc - Medicare in Prescott, AZ

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Advanced Wound Care Of Arizona Pllc is a medicare enrolled "Nurse Practitioner" provider in Prescott, Arizona. Their current practice location is 3667 Reflection Dr, Prescott, Arizona. You can reach out to their office (for appointments etc.) via phone at (928) 530-3230.

Advanced Wound Care Of Arizona Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Wound Care Of Arizona Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720839665.

Contact Information

Advanced Wound Care Of Arizona Pllc
3667 Reflection Dr,
Prescott, AZ 86305-7188
(928) 530-3230
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAdvanced Wound Care Of Arizona Pllc
TypeFacility
SpecialityNurse Practitioner
Location3667 Reflection Dr, Prescott, Arizona
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720839665
  • Provider Enumeration Date: 03/28/2024
  • Last Update Date: 08/07/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3779027669
  • Enrollment ID: O20240702003689

Medical Identifiers

Medical identifiers for Advanced Wound Care Of Arizona Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720839665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery (* (Not Available))Secondary
363L00000XNurse Practitioner (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Advanced Wound Care Of Arizona Pllc acts as a billing entity for following providers:
Provider NameArmando V Deguzman
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1558665398
PECOS PAC ID: 2163335068
Enrollment ID: I20040910000901
Provider NameRon A Olsen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1972510675
PECOS PAC ID: 3577655398
Enrollment ID: I20110608000250
Provider NameSylvania H Hernandez-latog
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861881351
PECOS PAC ID: 5991020687
Enrollment ID: I20150223000928
Provider NameDaniel Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013437458
PECOS PAC ID: 7012288517
Enrollment ID: I20170801003861
Provider NameAshley Marie Eyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013559301
PECOS PAC ID: 7517393374
Enrollment ID: I20200214001455
Provider NameAmanda Paige Gunn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700398716
PECOS PAC ID: 8123480530
Enrollment ID: I20230817000692
Provider NameStacie E Solo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962916775
PECOS PAC ID: 3072043603
Enrollment ID: I20250211002957

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. Advanced Wound Care Of Arizona Pllc 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 AddressPractice Location Address
Advanced Wound Care Of Arizona Pllc
Po Box 10634,
Prescott, AZ 86304-0634

Ph: () -		Advanced Wound Care Of Arizona Pllc
3667 Reflection Dr,
Prescott, AZ 86305-7188

Ph: (928) 530-3230

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.