Alzetta Clay Obahiagbon, in Tempe, AZ - Medicare Nurse Practitioner

Alzetta Clay Obahiagbon, is a medicare enrolled "Nurse Practitioner - Family" in Tempe, Arizona. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Llc and her current practice location is 1750 E Broadway Rd, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 557-0970.

Alzetta Clay Obahiagbon is licensed to practice in Arizona (license number 255362) 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 1992305551.

Contact Information

	Alzetta Clay Obahiagbon,
	1750 E Broadway Rd, Tempe, AZ 85282-1612
	(480) 557-0970
	Not Available

Map and Direction

Provider's Profile

Full Name	Alzetta Clay Obahiagbon
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	1750 E Broadway Rd, Tempe, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alzetta Clay Obahiagbon graduated from nursing school in 2020

NPI Data:

NPI Number: 1992305551
Provider Enumeration Date: 10/31/2020
Last Update Date: 06/10/2021

Medicare PECOS Information:

PECOS PAC ID: 1456755305
Enrollment ID: I20210813002649

Medical Identifiers

Medical identifiers for Alzetta Clay Obahiagbon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992305551	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN195688 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	255362 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Minuteclinic Llc	6709850241	556

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. Alzetta Clay Obahiagbon allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134191836 PECOS PAC ID: 6709850241 Enrollment ID: O20070131000662

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. Alzetta Clay Obahiagbon 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
Alzetta Clay Obahiagbon, 1750 E Broadway Rd, Tempe, AZ 85282-1612 Ph: (480) 557-0970	Alzetta Clay Obahiagbon, 1750 E Broadway Rd, Tempe, AZ 85282-1612 Ph: (480) 557-0970

Reviews and Comments

Nurse Practitioner Nurses in Tempe, AZ

Mr. Christopher Ian Earle, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1835 E 6th St, Ste 21, Tempe, AZ 85281 Phone: 480-581-6981
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Alayna M Despain, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2033 E Warner Rd, Suite 109, Tempe, AZ 85284 Phone: 480-820-5525 Fax: 480-831-6755
Mrs. Jennifer Lindsey Atwood Green, RN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 618 S Madison Dr, Tempe, AZ 85281 Phone: 480-784-1514
Patricia Ann Faust, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6200 S Mcclintock Dr, 104, Tempe, AZ 85283 Phone: 480-388-3666 Fax: 480-388-3667
Rosalia Jimenez Vasquez, N.P. (NURSE PRACTITI Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2078 E Southern D-101, Tempe, AZ 85282 Phone: 480-968-9890 Fax: 480-968-9895

Alzetta Clay Obahiagbon, - Medicare Nurse Practitioner in Tempe, AZ