Nurse Practitioner In Elfrida Arizona

NPI list of 6 nurse practitioner registered providers with a business address in Elfrida, AZ of which 1 are registered as organizations and 5 as individuals. (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

NPI Name Type Taxonomy Address Medicare PECOS
1245677921NANCY DIANN CLYNEIndividualNurse Practitioner
(Adult Health)
10496 N WHITE FAWN RD
ELFRIDA, AZ 85610
(520) 642-1441
Non-Participating ProviderYES
1316399397TERESA ANN COLBYIndividualNurse Practitioner
(Family)
10566 N HIGHWAY 191
ELFRIDA, AZ 85610
(520) 642-2222
Accepts MedicareYES
1346622271LEONARD JAMES ATENCIOIndividualNurse Practitioner
(Family)
10566 N HIGHWAY 191
ELFRIDA, AZ 85610
(520) 642-2222
Accepts MedicareYES
1548742067HEALTH FROM HOMEOrganizationNurse Practitioner
(Family)
4138 W WHISPERING PINE LN
ELFRIDA, AZ 85610
(520) 226-0490
Non-Participating ProviderNO
1770556730HEIDI A MCGUIGANIndividualNurse Practitioner
(Family)
10566 N HIGHWAY 191
ELFRIDA, AZ 85610
(520) 642-2222
Non-Participating ProviderYES
1982058277JASON STEINBERGIndividualNurse Practitioner
(Family)
4138 W WHISPERING PINE LN
ELFRIDA, AZ 85610
(520) 226-0490
Accepts MedicareYES

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.