Emma Marie Stephens, is a medicare enrolled "Nurse Practitioner - Family" physician in Goodyear, Arizona. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Urgent Care Services Llc and her current practice location is
18422 W Roma Ave, Goodyear, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 573-9537.
Emma Marie Stephens is licensed to practice in Arizona (license number 251899) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1730778648.
Physician's Profile
| Full Name | Emma Marie Stephens |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 18422 W Roma Ave, Goodyear, Arizona |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Emma Marie Stephens graduated from medical school in 2020
NPI Data:
- NPI Number: 1730778648
- Provider Enumeration Date: 01/14/2021
- Last Update Date: 01/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 0446648836
- Enrollment ID: I20211104002011
Medical Identifiers
Medical identifiers for Emma Marie Stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730778648 | NPI | - | NPPES |
| F11200843 | Medicaid | AZ | |
| 251899 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 251899 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 251899 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Banner Urgent Care Services Llc | 4284921610 | 200 |
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. Emma Marie Stephens allows following entities to bill medicare on her behalf.
| Entity Name | Banner Urgent Care Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316349855
PECOS PAC ID: 3678749496
Enrollment ID: O20111228000784 |
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| Entity Name | Feliz Family Care Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538533799
PECOS PAC ID: 3274838586
Enrollment ID: O20160224002680 |
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| Entity Name | Banner Urgent Care Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609229764
PECOS PAC ID: 4284921610
Enrollment ID: O20160928001188 |
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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. Emma Marie Stephens 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 |
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Emma Marie Stephens,
1345 E Main St,
Mesa, AZ 85203-8947
Ph: (480) 404-7158 | Emma Marie Stephens,
18422 W Roma Ave,
Goodyear, AZ 85395-6462
Ph: (602) 573-9537 |
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