Dr Lucero Jacqueline Vivar, MD in Yuma, AZ

Dr Lucero Jacqueline Vivar, MD is a medicare enrolled "Pediatrics" physician in Yuma, Arizona. Her current practice location is 11351 E S Frontage Road, Yuma, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 336-4000.

Dr Lucero Jacqueline Vivar is licensed to practice in Arizona (license number 73781) 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 1134533961.

Contact Information

	Dr Lucero Jacqueline Vivar, MD
	11351 E S Frontage Road, Yuma, AZ 85367
	(928) 336-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Lucero Jacqueline Vivar
Gender	Female
Speciality	Pediatrics
Location	11351 E S Frontage Road, Yuma, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134533961
Provider Enumeration Date: 06/19/2014
Last Update Date: 08/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5991924821
Enrollment ID: I20210513001485

Medical Identifiers

Medical identifiers for Dr Lucero Jacqueline Vivar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134533961	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	78471 (Georgia)	Secondary
208000000X	Pediatrics	73781 (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 Lucero Jacqueline Vivar allows following entities to bill medicare on her behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

Entity Name	Au Medical Associates Emergency Medicine Billing Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982089777 PECOS PAC ID: 3072823186 Enrollment ID: O20151102001458

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 Lucero Jacqueline Vivar 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 Lucero Jacqueline Vivar, MD Po Box 6298, Aiken, SC 29804-6298 Ph: () -	Dr Lucero Jacqueline Vivar, MD 11351 E S Frontage Road, Yuma, AZ 85367 Ph: (928) 336-4000

Reviews and Comments

Pediatrics Doctors in Yuma, AZ

Christopher Schmehil, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 S. Avenue A, Yuma, AZ 85364 Phone: 928-336-1020 Fax: 928-336-1898
Dr. Daniel Wayne Crawford, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2359 22nd Drive, # 2, Yuma, AZ 85364 Phone: 928-344-4800 Fax: 928-726-2377
Dr. Mwela Njabi Asombang, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2060 W 24th St, Yuma, AZ 85364 Phone: 928-819-8999 Fax: 928-344-5766
Dr. Rajoo Thapa, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2400 S Avenue A, Yuma, AZ 85364 Phone: 928-344-2000
Dr. James Gordon Leiferman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2400 S Avenue A, Professional Services Group, Yuma, AZ 85364 Phone: 928-336-3035 Fax: 928-336-7776
Alexander Podolsky, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2851 S Avenue B Ste 2503, Yuma, AZ 85364 Phone: 928-819-7000 Fax: 928-336-1769

Dr Lucero Jacqueline Vivar, MD - Medicare Pediatrics in Yuma, AZ