Dr Alise Magnuson, MD in Nogales, AZ

Dr Alise Magnuson, MD is a medicare enrolled "Pediatrics" physician in Nogales, Arizona. Her current practice location is 1103 Circulo Mercado, Nogales, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 281-1550.

Dr Alise Magnuson is licensed to practice in Arizona (license number 63116) 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 1508864638.

Contact Information

	Dr Alise Magnuson, MD
	1103 Circulo Mercado, Nogales, AZ 85648-6248
	(520) 281-1550
	(520) 281-1112

Map and Direction

Physician's Profile

Full Name	Dr Alise Magnuson
Gender	Female
Speciality	Pediatrics
Location	1103 Circulo Mercado, Nogales, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508864638
Provider Enumeration Date: 07/12/2005
Last Update Date: 05/26/2022

Medicare PECOS Information:

PECOS PAC ID: 2860410917
Enrollment ID: I20211130003217

Medical Identifiers

Medical identifiers for Dr Alise Magnuson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508864638	NPI	-	NPPES
098235	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101233351 (Virginia)	Secondary
208000000X	Pediatrics	63116 (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. Dr Alise Magnuson allows following entities to bill medicare on her behalf.

Entity Name	Mariposa Community Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417985474 PECOS PAC ID: 8123926326 Enrollment ID: O20031226000065

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. Dr Alise Magnuson 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
Dr Alise Magnuson, MD 825 N Grand Ave Ste 100, Nogales, AZ 85621-1061 Ph: (520) 281-1550	Dr Alise Magnuson, MD 1103 Circulo Mercado, Nogales, AZ 85648-6248 Ph: (520) 281-1550

Reviews and Comments

Pediatrics Doctors in Nogales, AZ

Tanya Henry, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550
Dr. Guadalupe Ibanez Davila, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487
Andrea Batshon, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-1112
Alfonso C. Robles, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-4487
Burt A Stanga, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-375-6007
Dr. Jeminah L. Van Handel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335
Gonzalo E Ibarra Murrieta, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1852 N Mastick Way, Nogales, AZ 85621 Phone: 520-281-1550 Fax: 520-281-2335

Dr Alise Magnuson, MD - Medicare Pediatrics in Nogales, AZ